16 Jan Neurosurgical Approaches to Spasticity in Children
ANA’s Dr. Arno Fried conducted grand rounds at St. Barnabas Medical Center in Livingston, NJ on Jan. 13, discussing the approaches to spasticity in children, particularly the treatment of such with selective dorsal rhizotomy (SDR) surgery with local pediatricians and nursing staff. He introduced the latest treatments including non-surgical options of Baclofan, Dantrolene, Botox injections, and casting with an emphasis on physical and occupational therapies for considering surgical options.
Dr. Fried provided an in depth explanation of the effects to reflex and muscle-tone and in a collaborative discussion with attendees. He highlighted key indicators of pediatric patients whom may be considered as candidates for the SDR procedure and also the use of an Intrathecal Baclofan pump. Dr. Fried highlighted the goals and advantages of rhizotomy operations and how to best address any potential complications. He also presented statistics on cerebral palsy and the movement disorders accompanied by this diagnosis and reviewed the Ashworth Scale of spasticity treatment outcomes using patient footage before/during/after SDR procedures to mark the significant improvements to motor function and movement capabilities in children as young as 3 years.
The emphasis of Dr. Fried’s was on the importance of a team approach involving the pediatric neurosurgeon, pediatricians, nursing staff, physical and occupational therapists, pediatric neurologists and orthopedics, orthotists, and social workers to engage the medical community to provide to most effective outcomes in children with spasticity.