Letters NICE on spasticity

Selective dorsal rhizotomy remains experimental in cerebral palsy

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e6670 (Published 09 October 2012) Cite this as: BMJ 2012;345:e6670
  1. Michael A Crilly, senior lecturer in clinical epidemiology1
  1. 1Polwarth Building, Aberdeen University Medical School, Aberdeen AB25 2ZD, UK
  1. mike.crilly{at}abdn.ac.uk

The recent guideline from the National Institute for Health and Clinical Excellence (NICE) on the clinical management of children with cerebral palsy advises clinicians to consider selective dorsal rhizotomy to improve walking.1 The guideline, however, omits publications on the benefits and harms of the procedure.2 3 4

Only three small randomised clinical trials have assessed its effectiveness (combined with post-operative physiotherapy) compared with physiotherapy …

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