NICE - Selective dorsal rhizotomy for spasticity in cerebral palsy. Interventional procedures guidance [IPG373] Published: 15 December 2010
Evidence-based recommendations on selective dorsal rhizotomy for spasticity in cerebral palsy. This involves cutting nerves in the lower spine that are responsible for muscle rigidity.
NHS England - Clinical Commissioning Policy: Selective Dorsal Rhizotomy (SDR) for the treatment of spasticity in Cerebral Palsy (children aged 3-9 years)
Selective dorsal rhizotomy is an operation used to reduce spasticity (muscle stiffness) in cerebral palsy. NHS England has carefully reviewed the evidence and concluded that there is enough evidence to make the treatment available at this time.
Great Ormond Street Children's Hospital - Selective Dorsal Rhizotomy clinical outcomes
GOSH established its Selective Dorsal Rhizotomy (SDR) service in 2013 and is one of five centres providing the service in England. SDR is an operation that reduces spasticity (muscle stiffness) in children with cerebral palsy who fulfil specific clinical criteria.
Alder Hey Children's Hospital Trust - Selective Dorsal Rhizotomy patient discharge information leaflet
This leaflet aims to provide information for parents and children about the care of their SDR wound.
Bristol Royal Hospital for Children SDR service - Information pages
Leeds General Infirmary SDR Neurosurgery site - Information pages
SCOPE - Advice & support: Selective Dorsal Rhizotomy (SDR) for muscle spasticity
Selective Dorsal Rhizotomy (SDR) is a surgical procedure aimed at reducing spasticity (tight and stiff muscle tone) in the lower limbs. It's mostly used for children with spastic diplegia (2 limbs affected). Around 1 in 4 children born with cerebral palsy (CP) have 2 limbs affected.