ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

SPML Surgery for Spastic Diplegia

Updated on November 5, 2014

Staying Fit and Active


Tendon Lengthening Surgery

This procedure has been around for 30 years, and I am shocked that I never heard of it until I started to research SDR surgery.

There are three pediatric orthopedic surgeons in the U.S., who are regularly doing SPML. Dr. Roy Nuzzo, Dr. David A. Yngve, Dr. Matthew Dobbs

I’m pleased that adults and children can benefit from this surgery that loosens tendons that often make life harder for those living with Cerebral palsy.

One of the perks of having this surgery is the minimal incision virtually no blood loss, and you get to go home the same day.

They use the combination of releasing the tendons combined with an alcohol nerve block with general sedation (thank goodness) I want to be knocked out for pretty much any procedure, especially one that involves alcohol on my nerves.

From everything that I’ve read about this procedure the reason they use the alcohol block is to create a speed bump for the nerve impulse, so they will slow down so the messages are more clearly defined, and you get the result that you wanted.

In people with spastic Cerebral palsy, the brain activates muscles at the same time, causing muscle groups to work against each other. The result is stiff, jerky movements. In 50-75% of all cases, people with spastic Cerebral palsy have too much muscle tone or tightness, a condition called hypertonia.

Spastic Cerebral palsy becomes painful as the person ages and by adulthood, chronic pain usually sets in due to the stiffness and with arthritis changes as early as 30’s.

Spasticity tends to increase with age as well as fatigue so it’s very important to reduce tight muscles as much as possible.


    0 of 8192 characters used
    Post Comment

    • profile image


      3 years ago

      This is Ginni and I am 42 and will be having the SPML surgery in August? How old was your daughter when she had this done? I will be going to Yngve.

    • profile image

      Ashlynn Nicol 

      3 years ago

      we are having SPML done by Dr.Nuzzo in nj here soon for our 7yr old daughter who has spastic diplegic cerebral palsy. we chose SPML over PERCS. ONLY TWO DRS do SPML. Dr.Nuzzo in Jersey and Dr.Yngve in Texas. Dr.Dobbs does percs. which just means percutaneous. aka- small incision..their.way of doing the procedure are not the same. Dr.Nuzzo.doesn't cut anything..therefore.preventing scar tissue. scar tissue from cutting the tendon (like Dobbs does it) can end.up worse then the original contracture. and involves more.permanent weakness from cutting and thinning out the muscle. a lot of doctors.make you think they do SPML. their just doing the traditional lengthening.

    • DREAM ON profile image

      DREAM ON 

      4 years ago

      There are so many great advances in science we are so fortunate. Thank you for your hub. Giving me new ideas and thoughts about life.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)