refers to selected areas of tightness caused by spasticity.
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.
myo means muscle and fascia is defined as connective tissue made of collagen that covers a muscle or a group of muscles.
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.
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.
This is a 5 ½ years old young guy with spastic quadriplegia. The Before video was taken at the gait lab. He underwent SPML and Alcohol Block on his lower extremities. Post operative videos were shot at six and eight months.
ALCOHOL BLOCK
Perineural injection of Ethanol (“Alcohol Block”), can enhance the SPML effect in selected patients with increased tone.
Case before & after Alcohol Block
This video shows that before the Alcohol Block when you try to move one leg, the other follows to the same direction. After the Alcohol Block each leg can be moved independently without cross reaction. This allows for voluntary muscle control (the child can move each leg without scissoring).