Surgical approaches have been considered as a treatment option for those individuals with severe spasticity which has been refractory to more conservative approaches and for which no useful or potential function exists below the level of the lesion (Livshits et al. 2002). Individuals often shy away from this treatment option because of the irriversability of the procedures. There are few well-controlled neuro-surgical interventional studies that have examined the influence of this approach on spasticity as their main purpose. The primary, and most commonly investigated technique is that of longitudinal myelotomy and this approach has also been applied to pain management and spasticity reduction in other etiologies, although spasticity in individuals with SCI is the most common application (Laitinen & Singounas 1971; Yamada et al. 1976; Fogel et al. 1985; Putty & Shapiro 1991). Other surgical techniques include laminectomy, cordectomy, and adhesolysis (Falci et al. 2009; Ewelt et al. 2010). Gautschi et al. (2009) reported significant improvements in health-related quality of life, in patients undergoing cordotomy for syringomyelia. Spasticity was mentioned as a symptom of syringomyelia. Areas like mobility and daily activities improved; which could be in part due to reduced spasticity, despite spasticity not being specifically measured as an outcome in this study.