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SDR – spastic diplegia — RACP Paediatrics MCQ

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HardNeurologySDR – spastic diplegiaRACP Paediatrics

A 4-year-old with spastic diplegic CP (GMFCS II) is considered for a procedure selectively cutting sensory nerve rootlets to permanently reduce spasticity. What procedure?

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Correct answer: E — Selective dorsal rhizotomy

SDR: selective sectioning of dorsal rootlets guided by EMG. Best for spastic diplegia, GMFCS II-III, good underlying strength, minimal dystonia.

Reference: RCH Melbourne – 2023 – CP CPG