Paediatrics - The Portland Hospital
Dorsal Rhizotomy service at The Portland helps children with celebral
palsy to walk
The Portland Hospital for Women and Children in London provides Selective Dorsal Rhizotomy (SDR) for children with cerebral palsy. This is the only fully private service of its kind in Europe.
SDR is a surgical procedure offered to children with spastic diplegia as a result of cerebral palsy. It reduces spasticity and therefore improves their ability to balance, walk and participate in normal daily activities and sport.
SDR involves sectioning of some of the sensory nerve fi bres that come from the muscles and enter the spinal cord.
involves a 1 to 2 inch incision along the centre of the lumbar spine.
The spinous process and a portion of the
The advantages of this type of surgery are:
Children are rigorously assessed pre-operatively to ensure that SDR is the best treatment option to maximise their potential.
The selection criteria are:
Surgery takes 3 to 4 hours. Post-operatively children spend one night in the hospitalfs 10-bedded paediatric intensive care unit for close observation and are on bed rest for the first 3 days.
Intensive physiotherapy commences on day 3. The reduction in spasticity is often immediate and the focus of treatment sessions is to improve trunk and lower limb strength, improve balance and re-educate walking patterns. Children are discharged home on day 6 but continue a twice daily physiotherapy programme for the next 2 weeks. At this point they can return to their usual routine but research has shown that physiotherapy must continue on a regular basis for a period of 1-2 years to optimise the effects of the surgery and ensure that changes to movement patterns are lasting.
The Portland Hospital is the only private hospital in the UK dedicated to the healthcare of women and children. It offers a range of specialties and full diagnostic support. The hospital cares for children with complex needs and those requiring a variety of surgical and medical interventions. The Acute Neurorehabilitation Unit provides intensive rehabilitation programmes for children to optimise recovery and help them reach their potential in life.
Date of upload: 8th Jul 2016
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