Cerebral palsy refers to a spectrum of neuromuscular conditions caused by abnormal brain development or injury to the brain. It can be acquired before, during or after birth and there is no cure. Cerebral palsy is the most common cause of childhood physical disability, affecting approximately two per 1,000 live births.
Health Quality Ontario Reviews Lumbosacral Dorsal Rhizotomy
Lumbosacral Dorsal Rhizotomy is a surgical procedure for children with spastic cerebral palsy (the most common form of cerebral palsy) that involves cutting nerves in the spine to decrease lower limb spasticity. The surgery is always followed by intensive inpatient and long-term outpatient physical rehabilitation.
The objectives of this health technology assessment were to evaluate the clinical effectiveness, safety, cost effectiveness, and family perspectives of lumbosacral dorsal rhizotomy as a treatment for children who have spastic cerebral palsy.
The Ministry of Health and Long-Term Care has accepted this recommendation.
The Ministry of Health and Long-Term Care has provided the following response: Lumbosacral dorsal rhizotomy is an OHIP insured service. The procedure, delivered at the Hospital for Sick Children, as well as post-procedure rehabilitation, delivered at the Holland Bloorview Kids Rehabilitation Hospital, is funded through a joint integrated program.