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Selective dorsal rhizotomy for spasticity in cerebral palsy

Guidance issued Guidance issued
 
IP Guidance Number: IPG195
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on selective dorsal rhizotomy for spasticity in cerebral palsy.
Description:
 Selective dorsal rhizotomy describes a surgical procedure carried out to the lower area of the back. Sensory nerve fibres in the spinal cord are identified then selectively cut. The sensory nerve roots are first of all separated from the motor ones. Identification of the nerve fibres to be cut is then made by means of electrical stimulation those which generate unusual electrical activity are considered to be those which contribute to producing too much muscle tone, and are cut. The remaining routes carrying the correct messages remain intact
Arrangements:

Other (see guidance)
Topic Area:

Central nervous system
Surgical procedures
Specialty:

Neurology
Specialist advice has
been sought from:

British Paediatric Neurosurgical Group

Society of British Neurological Surgeons

British Paediatric Neurology Association

Bristish Orthopaedic Associatin

Date notified to NICE: 29 April 2005
Guidance Publication Date: 22 November 2006
Contact Details:
Project Manager
(for general enquiries or comments)		 Ben Doak
Technical Lead
(for procedure specific enquiries or comments) 		Steven Barnes
ip@nice.nhs.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
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