Selective dorsal rhizotomy for spasticity treatment: a new surgical method in Slovenia

  • Peter Spazzapan Department of Neurosurgery, Division of Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Tomaž Velnar Department of Neurosurgery, Division of Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Zoran Rodi Institute of Clinical Neurophysiology, Division of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Nataša Kos Medical Rehabilitation Unit, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Andreas Kupsch Department of Anaesthetics and Surgical Intensive Care, Division of Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Roman Bošnjak Department of Neurosurgery, Division of Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
Keywords: cerebral palsy, muscle tone, case report, surgical treatment, rehabilitation


Spasticity is characterised by an abnormal increase in muscle tone, which may affect normal movements and the patients’ quality of life. Only a few paediatric neurosurgeons are being concerned with this pathology, mainly because decades ago the neurosurgeons were able to offer these children only a modest relief. Since then, the pharmacological therapy of spasticity has improved along with the neurosurgical and orthopaedic interventions. The medicines may limit the effects of the disease and the surgical treatment is gaining in importance, thus improving the quality of patients’ life. We report a case of a child affected by spastic paraparesis treated neurosurgically by SDR, which was performed in Slovenia for the first time.


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How to Cite
Spazzapan P, Velnar T, Rodi Z, Kos N, Kupsch A, Bošnjak R. Selective dorsal rhizotomy for spasticity treatment: a new surgical method in Slovenia. ZdravVestn [Internet]. 10Mar.2020 [cited 6Apr.2020];89(1-2):79-4. Available from:
Case report, short scientific article