How to treat cerebral palsy surgically

  What is cerebral palsy Cerebral palsy, also known as resting encephalopathy, is a non-progressive central nervous system disorder that produces a group of clinical syndromes with predominantly limb movement dysfunction, and children with a history of premature birth, obstructed labor, intrauterine hypoxia, postnatal asphyxia, and cerebral hemorrhage. However, the pathology of the musculoskeletal system is progressive in most children, and the clinical manifestations are diverse and complex postural and sensorimotor disorders. The incidence of cerebral palsy in China is 1.8‰~4‰. In recent years, with the establishment of neonatal ICUs, the incidence of cerebral palsy has been on the rise as more low gestational age, low birth weight and critically ill infants survive.  The classification of cerebral palsy is based on the extent and nature of the motor dysfunction: spastic, tardive, tonic, ataxic, tremulous, hypotonic, and mixed.  The treatment of cerebral palsy involves psychoeducation, speech training, rehabilitation, orthopedic appliances, and surgery, and must be comprehensive.  Surgical treatment of cerebral palsy Surgical treatment of cerebral palsy is extremely important in coordination with other treatments, especially with rehabilitation training. Surgery creates the conditions for training, and training ensures the effectiveness of surgery. The aim of surgical treatment is to release muscle spasm, balance muscle strength, correct deformity, adjust the negative gravity line of the limb and improve motor function. It is mainly applied to children with spastic cerebral palsy who have good intelligence and can cooperate with postoperative rehabilitation training. The age of surgery should be greater than 5 years old for lower limbs and greater than 7 years old for upper limbs, and 12 to 14 years old for bony surgery. The purpose of lower limb surgery is to remove various undesirable factors such as hip flexion, inversion and internal rotation, knee flexion and extension spasm, ankle horseshoe, foot valgus, etc., so that the child can stand and walk after surgery. Upper limb surgery is mainly performed to correct thumb inversion, wrist and elbow flexion and forearm rotation deformity.