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Skip to content Skip to search Skip to footer Neurosurgery Open Menu Back Close Menu Search for: Search Close Search AboutAbout News Diversity, Equity &＃038; Inclusion Contact Us Giving PeoplePeople Clinical Faculty Research Faculty Affiliated Faculty Fellows Residents Advanced Practice Providers Administration Patient CarePatient Care Aneurysms/Vascular Brain Tumors Chiari Malformation / Syringomyelia Epilepsy Hydrocephalus Movement Disorders Pain Pediatrics Peripheral Nerve Spine ResearchResearch Laboratories Clinical TrialsClinical Trials Trials with Outpatient EnrollmentTrials with Outpatient Enrollment Outpatient – Pediatric Outpatient-Spine and Peripheral Nerve Outpatient – Epilepsy and Functional Outpatient-Vascular Outpatient-Oncology Trials with Inpatient EnrollmentTrials with Inpatient Enrollment Inpatient – Oncology Inpatient – Vascular Inpatient- Pediatric Inpatient-Spine and Peripheral Nerve NeurotechnologyNeurotechnology Center for Innovation in Neuroscience and Technology (CINT) NEURO360 EducationEducation Residency Program Fellowship ProgramsFellowship Programs Advanced Surgical Neuro-oncology Fellowship Endovascular Surgical Neuroradiology Fellowship Pediatric Neurosurgery Fellowship Neurosurgical Peripheral Nerve and Spine Fellowship Neurosurgical Complex Spine Fellowship Stereotactic, Functional and Epilepsy Surgery Fellowship Third-year Clerkship Diversity Sub-internship Funding Medical Student Research Opportunities Fourth-year Sub-internship Learning Environment Life Outside the Hospital Join Our Team AppointmentsAppointments Patient imaging Patient forms Open Search Selective dorsal rhizotomy (SDR) Call 314-454-2810 for Patient Appointments What is spasticity & cerebral palsy? Cerebral palsy spasticity inhibits a child’s muscle growth, causing muscle contractures and orthopedic deformities. If a child’s spasticity is reduced at a young age, the deformities can become less severe. Selective dorsal rhizotomy (SDR) is a neurosurgical procedure that reduces spasticity and improves the ability to walk and stand. Our Experts Locations Why rely on Washington University experts to treat spasticity and cerebral palsy? The Center for Cerebral Palsy Spasticity at St. Louis Children&＃8217;s Hospital has the most experienced neurosurgeons in the world who treat spastic cerebral palsy in children as well as adults up to age 40. Our neurosurgeons are nationally and internationally recognized  for the development of a novel, less invasive procedure to treat spastic cerebral palsy called Selective Dorsal Rhizotomy (SDR). In addition, we also offer procedures such as percutaneous release of muscle/tendons (PERCS) after SDR, and comprehensive physical therapy. Selective Dorsal Rhizotomy (SDR) Treatment Washington University neurosurgeons in The Center for Cerebral Palsy Spasticity at St. Louis Children&＃8217;s Hospital developed the less invasive SDR procedure. Since 1987, we have performed more than 5,300 SDR surgeries on children and young adults from 53 countries. With more than 800 of these pediatric SDR patients now in adulthood, the Center clearly has demonstrated the efficacy and safety of the SDR procedure. SDR has many benefits, including reduced risk of spinal deformities in later years decreased post-operative motor weakness reduced hip flexor spacticity less intense back pain In addition to SDR, we also offer procedures such as percutaneous release of muscle/tendons (PERCS) after SDR, and physical therapy. Children under the age of 18 must meet the following criteria before being considered for SDR: diagnosis of spastic diplegia or spastic quadriplegia history of premature birth; if born at full term, child must have typical signs of spastic diplegia no severe damage to the basal ganglia on MRI examination patients exhibit potential for improvement in functional skills after dorsal rhizotomy Department of NeurosurgeryWashington University School of Medicine660 South Euclid AvenueCampus Box 8057St. Louis, MO 63110314-362-3570Contact Us Instagram Twitter YouTube Information Refer a patient Clinical faculty directory Locations Giving Careers Faculty job openings Staff job openings Patients MyChart Patient forms Patient imaging ©2024 Washington University in St. Louis