Selective Dorsal Rhizotomy (SDR) Surgery – Advanced Treatment for Spasticity in India
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What is Selective Dorsal Rhizotomy (SDR) Surgery?
Selective Dorsal Rhizotomy (SDR) is a neurosurgical procedure used to treat spasticity (muscle stiffness), most commonly in children with cerebral palsy. The surgery involves identifying and selectively cutting abnormal sensory nerve fibers in the spinal cord that are responsible for excessive muscle tone.
By reducing these abnormal signals, SDR helps improve muscle control, mobility, posture, and overall quality of life.
Why is Selective Dorsal Rhizotomy (SDR) Surgery Done?
SDR surgery is recommended to:
- Reduce spasticity in the lower limbs
- Improve walking ability and motor function
- Decrease muscle stiffness and spasms
- Prevent long-term orthopedic deformities
- Enhance independence in daily activities
It is considered a permanent solution for spasticity management, unlike temporary treatments such as medications or injections.
Who is an Eligible Candidate for Selective Dorsal Rhizotomy (SDR) Surgery in India?
Ideal candidates for SDR surgery include:
- Children diagnosed with spastic cerebral palsy (especially spastic diplegia)
- Age typically between 3 to 12 years (can vary case by case)
- Good muscle strength but limited by spasticity
- Ability to participate in post-surgery rehabilitation
- No severe brain damage or uncontrolled seizures
A thorough evaluation by a neurologist and neurosurgeon is essential before confirming eligibility.
Types of Selective Dorsal Rhizotomy (SDR) Surgery
SDR is generally performed using one standard approach, but techniques may vary slightly:
1. Single-Level Laminectomy SDR
- Modern and most preferred method
- Involves a small opening in one vertebra
- Less invasive with faster recovery
2. Multi-Level SDR (Traditional Approach)
- Involves multiple spinal levels
- Less commonly used today
Both techniques aim to selectively cut problematic nerve rootlets while preserving normal function.
Diagnostic Tests Done Before SDR Surgery
Before SDR surgery, doctors in India recommend:
- MRI Brain and Spine – To assess neurological condition
- Gait Analysis – To study walking patterns
- Physical Examination – To evaluate muscle tone and strength
- EMG (Electromyography) – To analyze nerve activity
- Orthopedic Assessment – To check joint and bone health
These evaluations ensure the patient is a suitable candidate and will benefit from the procedure.
Why India is Preferred for Selective Dorsal Rhizotomy (SDR) Surgery?
India is a top destination for SDR surgery because of:
- Experienced pediatric neurosurgeons and rehabilitation specialists
- Advanced neuro-surgical facilities and technology
- Affordable treatment costs compared to global standards
- Comprehensive post-surgery physiotherapy programs
- High success rates with personalized care
Hospitals in India provide holistic treatment plans, including surgery and long-term rehabilitation, ensuring the best possible outcomes.
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Estimated Costs
India
India is one of the most affordable destinations for SRS treatment.
EEstimated Cost Range:
USD 5,000 – 10,000
India offers advanced technology like Gamma Knife and CyberKnife at internationally accredited hospitals, making it popular for medical tourism.
Turkey
Turkey is a leading medical tourism hub with competitive pricing and modern radiation oncology centers.
Estimated Cost Range:
💵 USD 8,000 – 15,000
Turkey offers European-standard healthcare at lower costs compared to Western countries.
Dubai
Dubai provides premium healthcare facilities with advanced radiosurgery systems
Estimated Cost Range:
💵 USD 10,000 – 18,000
Costs are higher due to infrastructure and international healthcare standards.
Notes on Costs: Text
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