Spasticity
Pediatric Neurosurgical Conditions
Spasticity
Spasticity is a neurological condition characterized by abnormal muscle stiffness, tightness, and involuntary muscle contractions that interfere with normal movement and posture. It results from injury or dysfunction within the brain or spinal cord pathways that control voluntary muscle activity. In children, spasticity most commonly occurs as a consequence of conditions such as cerebral palsy, traumatic brain injury, stroke, spinal cord injury, tumors, infections, or congenital malformations of the nervous system.
Children with spasticity may experience difficulty with walking, sitting, using their hands, speaking, and performing everyday activities. Over time, untreated spasticity can lead to pain, joint contractures, skeletal deformities, and limitations in independence and quality of life. Comprehensive evaluation involves neurological examination, imaging studies, and functional assessments to determine the underlying cause and the extent of involvement.
Treatment is highly individualized and often requires a multidisciplinary approach. Management options may include physical and occupational therapy, oral medications, targeted injections such as botulinum toxin, and advanced neurosurgical interventions. Surgical treatments for severe spasticity include intrathecal baclofen pump therapy, selective dorsal rhizotomy (SDR), and other neuromodulation techniques that reduce abnormal muscle tone while preserving strength and voluntary movement.
Our spasticity program is dedicated to improving mobility, comfort, and function for children affected by this condition. Pediatric neurosurgeons work closely with neurologists, physiatrists, therapists, and orthopedic specialists to develop personalized treatment plans that address each child’s unique needs. Through ongoing care and long-term follow-up, we support children and families in achieving the highest possible level of independence and quality of life.