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Selective dorsal rhizotomy for spasticity in cerebral palsy

 
Guidance issued
 
IPG 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 in November 2006.

NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result.  Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below.

The Interventional Procedures Advisory Committee (IPAC) will consider this procedure review and NICE will issue an Interventional Procedures Consultation Document about its safety and efficacy for 4 weeks public consultation. IPAC will then review the consultation document in the light of comments received and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.

If you wish to be updated to any developments with this procedure, you can express an interest here.

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

OPCS code:

Details

Arrangement:
Special
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 issue date:
22 November 2006

Contact details:

Project manager (for general enquiries or comments)
(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

Links: