Spasticity Surgery and Treatment

   Spasticity is a velocity dependent resistance to stretch and is a very important problem that accompanies Cerebral Palsy. As such effective treatments for spasticity can make enormous differences in the quality of life of children (and their families) affected with this common disease. Treatment for spasticity may involve a variety of physical or medical treatments. Physical treatments may include exercises, stretching and use of braces. Medical treatments include oral Baclofen, Dantrolene, Diazepam or Clonazepam. However a significant number of patients will demonstrate either a waring off of effect or will develop significant side effects from medications. As such surgical options are important and include Selective Dorsal Rhizotomy and Baclofen Pump placement.

rhizotomy pic

Rhizotomy Courtesy of Shane Tubbs

Childrens of Alabama is one of a limited number of pediatric medical centers with extensive experience in treating pediatric spasticity with both Selective Dorsal Rhizotomy (SDR) AND Baclofen pump therapies. We believe that therapy for spasticity needs to be carefully individualized and that more than one treatment is necessary and appropriate to meet the needs of children with spasticity. The Spasticity clinic at COA meets monthly and is attended by physicians from Neurosurgery, Orthopedics and Physical Medicine and Rehabilitation as well as Physical and Occupational Therapists and Nurses from each of the Divisions.

pump pic

Baclofen Pump Courtesy of Brandon Rocque

Sub-specialty interests

Dr. Brandon G. Rocque










Surgical services offered
Selective Dorsal Rhizotomy
Baclofen Pump placement/management


Cerebral Palsy Network