Evolving Neurosurgical Management of Spasticity
About this episode
Dr. Casey Madura discusses neurosurgical treatments for spasticity, focusing on selective dorsal rhizotomy and the importance of early intervention and family commitment.
In this episode of The Summary , we welcome Dr. Casey Madura, section chief of pediatric neurosurgery at Corewell Health Helen DeVos Children’s Hospital. Dr. Madura shares his expertise about neurosurgical treatments for spasticity in children and adults. He focuses on selective dorsal rhizotomy (SDR) and other emerging surgical options. Together, they break down why and when spasticity is treated. They also discuss how SDR works, and why early intervention—combined with intensive rehabilitation—can reduce pain, improve mobility and limit future orthopedic surgeries. Dr. Madura explains patient selection and ideal timing. He also emphasizes the crucial role family commitment plays in long-term outcomes. The conversation explores alternatives like baclofen pumps, palliative dorsal and ventral rhizotomies and peripheral neurotomies—highlighting the benefits, limitations and decisions behind each approach. Guest Casey Madura, M.D. Pediatric Neurosurgeon, Corewell Health Dr. Casey Madura is a pediatric neurosurgeon and section chief at Corewell Health Helen DeVos Children’s Hospital. He earned his master’s degree from the University of Wisconsin-Madison School of Medicine and Public…
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