Table 1 Criteria used to select patients for selective dorsal rhizotomy.
History | Examination | Investigation |
---|---|---|
(1) Age range 5–10 | (1) Diagnosis spastic diplegia, severe hemiplegia, HSP | (1) No hip dysplasia |
(2) Absence of chronic conditions, eg BPD, refractory | (2) Spasticity moderate to severe. | (2) No basal ganglia change on MRI |
epilepsy, severe visual impairment, scoliosis | (3) Mean lower limb power >3 on MRC scale | (3) Weight not disproportionately greater |
(3) Cognitive ability – IQ 70 or above | (4) Movement control at least moderate | than height |
(4) Well motivated, emotionally robust child | (5) Balance at least moderate | |
(5) No previous multilevel surgery | (6) Absence of severe fixed joint deformity | |
(6) Good family/social support | (7) No involuntary movements or dystonia | |
BPD, broncho‐pulmonary dysplasia; HSP, hereditary spastic paraparesis.