A number of surgical procedures, such as a rhizotomy or microvascular decompression, may also be considered, but evidence to support them is limited and there are cases of people ending up worse off.
22.
Chiefly, pediatric rhizotomy candidates are people with CP who have shown age-appropriate progression in motor development, but spasticity hampers the development of skills and / or causes gait patterns like the scissors gait.
23.
Rhizotomy is usually performed on the pediatric spastic cerebral palsy population between the ages of 2 and 6, since this is the age range where orthopedic deformities from spasticity have not yet occurred, or are minimal.
24.
In the case of spastic diplegia there is also a permanent neurosurgical treatment for spasticity, selective dorsal rhizotomy, that directly targets nerves in the spine that cause the spasticity, and destroys them, so that the spasticity cannot be activated at all.
25.
These surgeries include rhizotomy ( where select nerve fibers are destroyed to block pain ) and Microvascular decompression ( where the surgeon moves the vessels that are compressing the nerve away from it and places a soft cushion between the nerve and the vessels ).
26.
This is a procedure called a facet rhizotomy and is not a surgical procedure but is instead done on an outpatient basis using a simple probe to apply radiofrequency waves to the impinged pain-causing nerve root lying between the facet joint and the vertebral body.
27.
In any case, it does appear as though rhizotomy for spasticity purposes continued to lie outside of any " significant clinical " use for the treatment of spasticity until its comparatively well-known turnaround to mild fame over the last quarter of the 20th century.
28.
The involvement of spinal reflexes in the genesis of muscular spasticity suggested its possible treatment by surgical interruption of the sensory branch of the thoracic and lumbar nerves ( rhizotomy ), and Foerster developed in 1908 an operation to cut the posterior sensory root in order to alleviate spasticity.
29.
The "'selective dorsal rhizotomy "'( SDR ) for spastic cerebral palsy has been the main use of rhizotomy for neurosurgeons specialising in spastic CP since the 1980s; in this surgery, the spasticity-causing nerves are isolated and then targeted and destroyed.
30.
The "'selective dorsal rhizotomy "'( SDR ) for spastic cerebral palsy has been the main use of rhizotomy for neurosurgeons specialising in spastic CP since the 1980s; in this surgery, the spasticity-causing nerves are isolated and then targeted and destroyed.
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