Abstract
Effective treatments are available for spasticity in children with cerebral palsy: botulinum toxin, neurotomies, dorsal rhizotomies, intrathecal baclofen therapy. Each child represents a particular situation; therefore treatment should be adapted to every given case. The goal is to reduce excess of spasticity in order to avoid deformity and improve function. Expectations of both the child and the family can be quite different from what can be achieved; it may be hoped that the child be able to walk even if this capability cannot be obtained as a realistic goal. Therefore, objectives should be precisely defined and formalized in form of a written consent. If a child’s disability is severe, significant functional benefits may not be obtained. However, together with complementary orthopedic surgery, reduction of contractures and deformities can be achieved and thereby care can be made easier and subsequent improvement in quality of life may be expected.
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Sindou, M., Georgoulis, G., Mertens, P. (2014). Decision-Making for Treatment of Children with Disabling Spasticity. In: Neurosurgery for Spasticity. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1771-2_12
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DOI: https://doi.org/10.1007/978-3-7091-1771-2_12
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