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Review
. 2025:51:53-63.
doi: 10.1007/978-3-031-86441-4_5.

Creating a Selective Dorsal Rhizotomy Team

Benjamin J Hall  1   2 , Conor S Gillespie  3 , Christine Sneade  4 ; Alder Hey Children’s Hospital Physiotherapy Group; Deborah Quirk  4 , Dawn Hennigan  4 , Benedetta Pettorini  4
Affiliations
Review

Creating a Selective Dorsal Rhizotomy Team

Benjamin J Hall et al. Adv Tech Stand Neurosurg. 2025.

Abstract

Selective dorsal rhizotomy (SDR) is becoming increasingly popular in the management of spasticity in children. Spasticity itself is a multifaceted clinical entity that requires a holistic approach in order to effectively care for and improve the quality of life of those affected. To deliver these goals, a broad multidisciplinary team is required. From the role of neurosurgery in undertaking the procedure, through to the comprehensive rehabilitation process supported by physiotherapy, this chapter aims to summarise the key features necessary for an SDR unit to succeed as a team when providing care to their patients.

Keywords: Cerebral palsy; Neurosurgery; Physiotherapy; SDR; Selective dorsal rhizotomy; Spasticity; Team.

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References

    1. Clinical Commissioning Policy: Selective Dorsal Rhizotomy (SDR) for the treatment of spasticity in Cerebral Palsy (children aged 3–9 years) NHS England Specialised Services Clinical Reference Group for Paediatric Neurosciences, July 2019, call number 170063P.
    1. Al-Shaar HA, et al. Selective dorsal rhizotomy: A multidisciplinary approach to treating spastic diplegia. Asian J Neurosurg. 2017;12(3):454–65. https://doi.org/10.4103/1793-5482.175625 . - DOI - PubMed - PMC