A novel minimally invasive surgical treatment for children with cerebral palsy

It is a surgical procedure that is carried under general anesthesia where the surgeon through pin holes on the skin lengthens the affected muscles.It requires no hospital stay and the patient returns quickly back in therapy and resumes quickly his/her everyday activities.


SPML stands for Selective Percutaneous Myofascial Lengthening.

  • Selective

    refers to selected areas of tightness caused by spasticity.

  • Percutaneous

    an instrument developed for eye surgeries is used to make small (2-3mm) incisions in the areas of tightness/spasticity Percutaneous refers to a procedure perfomed through skin using a needle etc.

  • Myofascial

    myo means muscle and fascia is defined as connective tissue made of collagen that covers a muscle or a group of muscles.

  • Lengthening

    Roy Nuzzo MD, a Pediatric Orthopaedic Surgeon based in Summit, NJ, USA, used this term to describe the surgical procedure that he invented to improve the function of children with cerebral palsy.


– Pediatric Orthopaedic Surgeon
– Head of Pediatric Orthopaedics at IASO Children’s Hospital
– Member of the Pediatric Orthopaedic Society of North America (POSNA)

Dr Kanellopoulos is Fellowship trained in Pediatric Orthopedics and is an active member of the Pediatric Orthopaedic Society of North America.

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