| Research question | What is the effectiveness and cost effectiveness of selective dorsal rhizotomy compared to continuous intrathecal baclofen pump to reduce spasticity in adults with cerebral palsy? |
|---|---|
| Importance to ‘patients’ or the population |
Minimise further surgery Minimise follow up Reduce complications |
| Relevance to NICE guidance | Ability to make firm recommendations according to functional level |
| Relevance to the NHS |
Reduce costs of ongoing ITB therapy Reduce costs of further surgery |
| National priorities |
Ensure equal access to treatments Reduce variations in treatment practice Ensure validity of SDR in adult population |
| Current evidence base | Current evidence not available or not applicable to adult population |
| Equality | Applies to all patients with cerebral palsy and spasticity regardless of functional (GMFCS) level |
From: Management of abnormal muscle tone: neurosurgical procedures to reduce spasticity
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