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Follow-up for Spasticity Treated with Selective Dorsal Rhizotomy in Children

This page was last updated on January 25th, 2023

Frequency of Office Visits – Montreal Protocol

  • Surgeon’s follow-up during rehabilitation: We prefer to assess the patient’s progress in the rehabilitation center once a week for 6 weeks.
  • Intensive in-patient rehabilitation: Patient undergoing 6 hours of therapy daily x 6 weeks including pool therapy, gait training, occupational therapy, prone board, tricycle, and schooling.
  • Subsequent regular follow-up into adulthood: Patient are reassessed at 6 months, 1 year, 2 years, 3 years, 5 years, 10 years, and 15 years in spasticity clinic.

Frequency of Imaging

  • Dictated by orthopedic concerns: Follow-up imaging of the SDR surgical site is not required for children post-SDR unless indicated by the development of complaints suggestive of spine pathology.

Other Investigations Required

  • Orthopedic evaluation: The patient is seen by the orthopedic service in a general CP clinic on a regular basis.

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