Evolving Neurosurgical Management of Spasticity

In this episode of The Summary, we welcome Dr. Casey Madura, section chief of pediatric neurosurgery at Corewell Health Helen DeVos Children’s Hospital. Dr. Madura shares his expertise about neurosurgical treatments for spasticity in children and adults. He focuses on selective dorsal rhizotomy (SDR) and other emerging surgical options. Together, they break down why and when spasticity is treated. They also discuss how SDR works, and why early intervention—combined with intensive rehabilitation—can reduce pain, improve mobility and limit future orthopedic surgeries. Dr. Madura explains patient selection and ideal timing. He also emphasizes the crucial role family commitment plays in long-term outcomes.The conversation explores alternatives like baclofen pumps, palliative dorsal and ventral rhizotomies and peripheral neurotomies—highlighting the benefits, limitations and decisions behind each approach.GuestCasey Madura, M.D. Pediatric Neurosurgeon, Corewell Health Dr. Casey Madura is a pediatric neurosurgeon and section chief at Corewell Health Helen DeVos Children’s Hospital. He earned his master’s degree from the University of Wisconsin-Madison School of Medicine and Public Health and his medical degree from the University of Michigan. He completed his neurosurgery residency at the University of Wisconsin Hospital and his pediatric neurosurgery fellowship at Children’s Hospital of Alabama.His work centers on developing a comprehensive surgical epilepsy program and expanding advanced surgical options for children with severe spasticity.About The SumMARYThe SumMARY Podcast, where we explore the complexities of physical medicine and rehabilitation, one topic at a time. Hosted by Dr. Yunna Sinskey and Dr. Doug Henry, we “sum up” the latest insights, innovations, and practices in PM&R, featuring conversations with leading physicians and health care innovators.Connect with us on The SumMARY Podcast social media channels or visit our web page.