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Year : 2022  |  Volume : 5  |  Issue : 5  |  Page : 38-49

Module 3: Surgical management of spasticity

1 Nantes Université, CHU Nantes, Department of Physical and Rehabilitation Medicine, Movement - Interactions - Performance, MIP, UR 4334, F-44000 Nantes, France
2 Department of Physical Medicine and Rehabilitation, Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio, San Antonio, Texas, USA
3 Department of Rehabilitation, Libra Rehabilitation and Audiology, Eindhoven, The Netherlands
4 Institute of Cognitive Neuroscience, ALCLA, Favaloro University Buenos Aires, Argentina
5 Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center; Department of Physical Medicine and Rehabilitation, UTHealth Houston McGovern Medical School and TIRR Memorial Hermann Hospital, Houston, Texas, USA
6 Department of Physical Medicine and Rehabilitation, Université catholique de Louvain, Centre Hospitalier Universitaire de Namur, Godinne Site, Avenue Docteur G Therasse, Yvoir, Belgium

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2349-7904.347809

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This module outlines the history of the development of surgical interventions for treating spasticity and discusses when surgical intervention is most appropriate for managing spasticity. A range of surgical techniques are considered; intrathecal baclofen, neurotomy, and muscle or tendon lengthening and transfer procedures. The implications and limitations of the surgical techniques are considered. The need for a multidisciplinary team to deliver optimal surgical treatment is also considered.

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