Dorsal Rhizotomy, Keyhole interlaminar approach and intraoperative neuromonitoring for spastic diplegia/ quadriplegia in children with cerebral palsy
OBJECTIVE: Dorsal rhizotomy is considered the gold standard for treating spastic diplegia/quadriplegia in children with cerebral palsy, when rehabilitation programs reveal insufficient to control excess of spasticity. We present the entire surgical technique along with its specific intraoperative neuromonitoring. METHODS: The Keyhole Interlaminar Dorsal rhizotomy (KIDr) modality has been developed to access – individually – all L2-S2 roots, intradurally at the corresponding dural sheath, and preserve the posterior spine architecture.
