Селективная ризотомия при ДЦП - Помощь в оплате лечения
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Selective rhizotomy in the treatment of spasticity in cerebral palsy

Dr. Dmitry Zinchenko tells about rhizotomy in cerebral palsy

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Patient reviews
4/5
Diagnosis: Cerebral palsy
Rating:

4 months have passed since my daughter’s operation (belt rhizotomy). We went to a consultation, where they told us that the result was good, the legs relaxed, the spine is good. She doesn’t need anymore to wear the corset but our Nastena arches very much the head back and it’s still difficult to bend the legs. Therefore, one should not await much from this operation and that it will solve all problems in all limbs…

 

5/5
Diagnosis: Cerebral palsy
Rating:

Bogdan (5 years old) is diagnosed with cerebral palsy. We turned to the Sheba clinic in Israel. As a result of the selective rhizotomy, the tension of the limbs was reduced. The operation on the spinal cord lasted 6 hours. As a result, muscle tone significantly decreased, and their pathological tension disappeared. But this stage was just the beginning. We underwent rehabilitation at the center at the clinic. A physiotherapist, a psychologist, an occupational therapist, and a nutritionist worked with us. Employees of the educational center at the clinic also participated in the rehabilitation.

Two months after the operation, the set goals were achieved – Bogdan began to walk. Of course, there is still a lot of work to be done.

5/5
Diagnosis: Cerebral palsy
Rating:

My son (6 years old) underwent SDR (rhizotomy) in Germany on 11/20/2019 at the Bonn University Test Clinic, Professor Hannes Haberl.

After rhizotomy, difficult work to retrain the muscles and strengthen them is needed. Changing habits is very difficult. An easy example is as follows: you have always eaten and written with your right hand, and now you need to relearn how to do everything with your left hand without using your right hand. Is it really difficult? Will it cause anger, irritation, a desire to give up everything, and return to the usual right hand? For a child, it is even more difficult to understand why he should do all this. If you’re ready to compete with all these difficulties, go for it!

4/5
Diagnosis: Cerebral palsy
Rating:

My child did a rhizotomy in Berlin. We have now returned to Russia. We found a rehabilitation therapist. Now my son can walk with support, stand on all fours, roll over, and crawl backward. Before that, he was not able even to stand.

My son did not sleep for 6 years, his legs were spinning in his arms. This is why we decided. Now he can even hold a brush, he loves to draw. Now he feels really better.

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Selective dorsal rhizotomy program

  • Hospitalization : 10 days
  • Price in Turkey: 21,815 USD
  • Price in Israel: 23,000 USD
  • day 1: Examination
  • day 4: Operation and hospitalization
  • day 6: Discharge
  • day 7 : Follow-up examination
  • day 10: Return to home

Best doctors

Memet Ozek
Pediatric neurosurgeon
Work experience: more than 35 years
Achievements:

Professor, has 13 scientific publications in medical journals in pediatric neurology and epilepsy.

Member of the following organizations:

European Society for Pediatric Neurosurgery (ESPN)

International Society for Pediatric Neurosurgery (ISPN)

Society for Hydrocephalus and Spina Bifida Research

Association of Pediatric Neurology of Turkey

Association of Pediatric Oncology of Turkey

President of the European Association of Pediatric Neurosurgery (2008-2010)

Association of Neurosurgery of Turkey

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Amir Kershenovich
Neurosurgeon, oncologist
Work experience: more than 20 years
Achievements:

Doctor of Medical Sciences. Head of the Department of Pediatric Neurosurgery at the Schneider Clinic.

Dr. Kershenovich is a recognized specialist in operations:

– Craniotomy

– Removal of tumors in the spinal cord in children

– Surgical treatment of epilepsy

– Surgical treatment of Chiari defect

– Surgical treatment of syringomyelia

– Endoscopic surgery in the treatment of hydrocephalus and arachnoid cysts

– Installation of ventriculo-peritoneal shunts

– Surgical treatment of children with cerebral palsy: selective dorsal rhizotomy, intrathecal baclofen pumps, DREZL – dorsal root entry zone lesioning

– Surgical treatment of craniosynostosis: metopic, cranial, sagittal, multilayer, with or without Aperts, Crouzon, Pfeifer, Jackson Weis and others syndromes. Including open reconstructive surgeries and minimally invasive multilayer surgeries (also known as “cranial orthosis”)

– Cranioplasty

– Congenital malformations of the spine, including spina bifida (intrauterine surgery) and release of spinal cord incarceration.

– Surgical treatment of encephalocele

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Treatment of spastic syndrome in cerebral palsy

Selective dorsal rhizotomy is a surgical operation that consists in cutting individual nerve roots at the point of their exit from the spinal cord. This operation is performed to relieve severe muscle spasms in children with cerebral palsy.

Frequently asked questions about rhizotomy abroad
Selective dorsal rhizotomy for cerebral palsy

Modern progressive surgical technologies make it possible to significantly improve the condition of a patient with cerebral palsy. So, selective dorsal rhizotomy is an operation, after which involuntary movements or muscle spasms disappear. The patient gets rid of pain, socializes better, and care for him is simplified. Another obvious advantage of this operation is that it significantly reduces the number of subsequent orthopedic surgeries.

For whom is the SDR recommended?

The optimal age for selective dorsal rhizotomy is 3-8 years. The intervention is performed on patients with spastic diplegia, the most common form of cerebral palsy, in which the muscles of the limbs contract involuntarily.

What is the purpose of the operation?

Involuntary convulsions with cerebral palsy are the result of damage to brain activity: the brain transmits incorrect signals through the nerve endings, causing the muscles of the arms or legs to contract involuntarily. If we exclude nerve endings from this chain (brain – nerves – muscles), spasticity either disappears altogether or noticeably decreases. As a result of the operation, the muscles relax, and the child gets rid of the pain.

How is the SDR going?

Selective dorsal rhizotomy is a minimally invasive neurosurgical operation: damage to healthy tissues is minimized. First, the neurosurgeon makes a small incision in the spine to provide access to the spinal canal. Then, with the help of intraoperative equipment, the nerve endings are determined, which are responsible for the increased tone of certain muscles. After that, thin fibers that transmit spastic impulses intersect. Thanks to innovative equipment, manipulations are carried out without damaging the nerve endings nearby.
After suturing the tissues and the surgical wound, the patient is placed for 24 hours in the postoperative ward. Day after day, the patient is constantly monitored and the work of all organs and systems is verified as well.

Do you need rehabilitation?

After the operation, there is a sharp weakening of the muscles. Since they have not worked normally since birth, there is a risk that muscle weakness will develop. There is a condition, in which even those motor skills that the patient previously had may disappear. Therefore, rehabilitation is an important and mandatory stage, without which the effectiveness of the operation may be low.

What are the chances of success?

The efficiency of selective dorsal rhizotomy is quite high, over 90%. Moreover, the achieved effect persists for many years.

The information on the page is provided for informational purposes only. It is not a guide to action and should not be considered as medical advice or recommendations for treatment from experts-medical.com. All decisions about the choice of treatment methods and medical care should be made only by a specialized doctor after examining the patient's medical situation.