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Invasive treatment at Paley European Institute

Invasive treatment is one of the key components of comprehensive therapy for children with cerebral palsy (MPD) and other neurological conditions.

Treatment planning

Each case is analyzed in detail by our multi-specialist team, which evaluates the benefits and risks of the proposed treatments.

The planning process includes:

Assessment of the Patient's Condition: a detailed evaluation of the child's condition, taking into account the child's medical history, current symptoms and potential complications, along with specialized tests that can be performed at the Paley Institute.

Selection of treatment method: selection of appropriate medical and surgical procedures along with an aftercare plan that best suits the patient's needs.

Preparation for the procedure: comprehensive preparation of the child and family for the procedure, including education on procedures, expectations and potential complications.

Care before and after the procedure

Preparation for the procedure

Family support: detailed discussion of procedures, expectations and treatment and recovery plan during consultation with surgeon and rehabilitation team (physiotherapist, orthotist, equipment selection specialist, etc.).

Additional medical consultations: anesthesiologist, pediatrician and other specialists to discuss the treatment plan and safely qualify the patient for the procedure.

Psychological preparation: psych ological support for the child and family to minimize the stress of the procedure.

Post-operative care

Rehabilitation in the hospital: the Paley European Institute's team of physiotherapists conducts bedside physiotherapy, which begins on the first day after surgery and includes learning position changes, introducing movement to counteract postoperative stiffness or the formation of bedsores. If possible, the physiotherapist supports in the process of verticalization and learning to perform daily activities.

Orthotic and rehabilitation supplies: during this process, the patient can use various customized orthotic equipment and orthotic supplies (orthoses, positioning mattress), which the team, if necessary, will deliver to the hospital or will be put on while still in the operating theater.

Rehabilitation: in addition to physiotherapy in the hospital, the patient receives a package of physiotherapy classes (including occupational therapy, if necessary) to maximize the benefits of the procedure and promote the child's further motor development.

Health monitoring: regular post-operative checks are essential to control the healing process and evaluate the effectiveness of the surgery and rehabilitation.

Long-term support: ongoing care and support, including regular follow-up visits to adjust the treatment plan to meet the child's changing needs.

Long-term care

At Paley European Institute, we believe that invasive treatment should be an integral part of comprehensive therapy, not a one-time intervention. Our approach includes:

Holistic approach: considering all aspects of a child's health and well-being, including physical, emotional and social.

Team collaboration: close cooperation between surgeons, neurologists, physiotherapists, occupational therapists, speech therapists and psychologists to ensure a consistent and integrated treatment plan.

Individual approach: every child is different, so we tailor our treatment methods to the individual needs and capabilities of each patient.

Feel free to contact Paley European Institute Neurocenter to learn more about our invasive and non-invasive treatments.

Invasive treatment methods

At Paley European Institute, we understand that the decision to use invasive treatments must be carefully considered and individually tailored to each patient's needs. Our team of specialists works closely together to ensure the best possible results and minimize the risks associated with the treatments.

Surgical treatment

Osteotomies
Treatment of the skeletal system, restoring normal biomechanical conditions.
Correction of hip joints, spine.
Correction of subluxation, dislocation of the hip joint, correction of spinal defects.
Treatments on the muscular system
Release, lengthening of muscles:
Tenotomy
Fibrotomy
Myotomy
Muscle transfers

Neurotomies
Selective dorsal rhizotomy (SDR).
Reduction of elevated muscle tension.
Involuntary baclofen pump (ITB).
Variable muscle tension.
Deep brain stimulation (DBS).

Enteral feeding (PEG):
Eating disorders.
Cochlear implants:
Hearing disorders.
Vagus nerve stimulation:
Treatment of epilepsy.

Types of invasive treatment

Orthopedic surgery

Deformity correction: corrective bone and joint procedures such as osteotomies, limb lengthening, and spinal stabilization.

Muscle and tendon procedures: procedures such as tenotomy (cutting a tendon) or tendon lengthening to improve motor function and reduce spasticity.

Neurosurgical interventions

Selective dorsal rhizotomy (SDR): A procedure that cuts selected nerve roots to reduce muscle spasticity.

Intrathecal Baclofen Therapy (ITB) pump implantation: A system for continuous administration of a drug (baclofen) to help control spasticity.

Botulinum toxin injections

Spasticity treatment: botulinum injections to temporarily relax tight muscles, improve range of motion and facilitate rehabilitation.