Dorsal Rhyzodimy for patiens with Cerebral Palsy

United States
February 14, 2007 1:44pm CST
Hello: My son is five years old and he has CP. He has spastic diplegia (only in the legs) and some other developmental issues. My husband and I started with the usual physical therapy (speech, physical and developmental). As usual we got all sorts of advise from various people. Therapists told us to do the Botox Shots, others told us to do the bacloven pump and then others told us about the Dorsal Rhyzodimy. When we where told about the Dorsal Rhyzodimy we where told that it was going to be extremely invasive with a long healing period ect. After hearing this we decided to start with the Botox Shots - one year later and $10,000 later we realized this was not helping. We did not like the Bacloven Pump so we did more research on the DR. Well long story short we go into contact with St. Louis Hospital (Dr. Parks), the doctor who reinvented the surgery and said Randall was a perfect candidate for the surgery. He completely took our fears away and heven told us that our son would walk almost close to normal after the surgery. 17th November 06 he had the surgery. He stayed 5-days in the hospital - was in a wheel chair for two weeks - started walking at 4-weeks and doing excellent at PT. I am saying all of this because I want to encourage parents out there to research all your options carefully before deciding your childs future. My son is not losing his balance anymore, he is walking almost normal and Dr. Parks was just amazing and he has an amazing team. I would recommend them anytime. If you want the contact details let me know or if you want to discuss it further just contact me.
2 responses
@jdesert (11)
• United States
3 Mar 07
Hi, my son had a dorsal rhizotomy in 1993 at the age of three. He was born at 26.5 weeks' gestation because I had severe toxemia and they couldn't control my blood pressure. He was a tiny thing, weighed a bit under a pound and a half. He was and is a fighter, though. When he was about a year old he was diagnosed with spastic diplegic cerebral palsy. A shock indeed, but holding him that day, I just loved him all the more and resolved to do what I could with him. He had hernia repair surgery in the NICU, and bilateral osteotomies on both ankles also at the age of 3 - they cut through the calf bones to rotate the feet outwards - the little he could walk by that time, my son tripped over his own feet, they were intoed so much. The surgery corrected the intoing but he was still very stiff in his lower extremeties. As you all have said, it is so scary and painful. 1993 was a pretty rough year. That Rhizotomy made an enormous difference in my DS, though. Without it, he'd probably be in a wheelchair now. Instead he is ambulatory with minor balance issues and scoliosis for which he will get surgery this summer. He had the hamstring lengthening surgery done when he was 6 or 7. He is 17 now, has always been mainstreamed, and has been very fortunate in the friends he's had and the public schools he's attended. His main doctors have been Dr. Saunder Bernes, neurologist, and Dr. Stephen Milliner, orthopedic surgeon. They are the best, and Philip shows it. Like others in his situation, he's had years of therapy and lots of other doctors. Now though, he is in high school and doing great. Yes, Rhizotomy is a very frightening concept. It also results in amazing change. Best wishes go out to all of you, and to all parents of special-needs children, and the teachers, counselers, therapists, family members, and friends who keep them going!
• United States
5 Mar 07
You go girl! I truly wish more parents would look at the Dorsal Rhyzodimy as an option for their children as you and I did. It raelly made a difference in our sons life. My son is getting ready to go to kindergarten and he is not falling as much anymore. However, we are still in the early stages since the surgery last year November.
• United States
6 Jan 08
i had a dorsal rhizotomy when i was 6. I have spastic dipelgia. Shriners children hospital paid for it back in 1990. It really has changed my life. I can walk without any devices, and all i have to show for it is the scar on my back, and a limp.
• United States
6 Jan 08
I also get botox in both of my legs every 3 months, and in my left hand. The only complaint I have about botox besides the pain factor is that while it releases the muscle, it does make the muscles more weak. So intensive P.T./o.t. is needed
@Thoroughrob (11742)
• United States
15 Feb 07
Congratulations, I am so happy that your son is doing so well!! My son 12, has same diagnosis. We chose the Baclofen pump because we had an extensive testing for Rhyzodimy and they were afraid he would not be able to stand afterward. We did he botoxshots also, without much progress. I did not like that procedure at all. They did not evennumb his legs before all the shots. I hope your son keeps improving and does well as he grows. My son used to walk all the time with the walker, but is now only doing short distances due to his legs growing with contractures. My son is basically nonverbal, he started saying a few things since he iplant of the pump, but you must know what he is saying before he says it or you don't understand it. Good luck with everything. Would love to talk with you sometime.
• United States
15 Feb 07
What does the doctors say about his future and what improvements can be made?
@Thoroughrob (11742)
• United States
19 Feb 07
The are wanting to do tendon lengthenings, and heel cord releases. We are looking at putting rods in his back as he is at 53 degrees. He is gettng a communication device, a Vanguard. They do not give us any real predictions. It is all up to him and how hard he works at things. I am hoping with this device, we will be able to find ot what he really knows.