Permanently relieving the spasticity of the child’s muscles and correcting the deformities of the limbs and joints, as well as alleviating other factors that contribute to the child’s motor abnormalities such as severe stiffness of the joints, tardive dyskinesia, and balance disorders. Therefore, while functional rehabilitation training such as physiotherapy, occupational therapy, speech therapy and orthopedic applications should be adhered to, surgical treatment should be properly selected to enhance and consolidate the efficacy of treatment. Therefore, the modern treatment concept of cerebral palsy aims to improve the function of the child by a combination of means and give full play to its potential, so as to: firstly, improve the child’s motor function and enhance the child’s independent living skills; secondly, prevent secondary lesions and focus on long-term efficacy; thirdly, correct the child’s morbid posture and thus enhance the ease of receiving health care. The best age for SPR surgery is from 3 to 6 years old, and the best age for SPR surgery is from 3 to 6 years old, and the requirements for SPR surgery are: the patient’s spine is well developed and can tolerate lumbar surgery; the patient’s static deformity of the lower limbs is not formed, and the formation of deformed posture can be effectively avoided. Surgical treatment of cerebral palsy is beneficial to the development of a healthy personality. Low self-esteem and depression are common psychological disorders in children with cerebral palsy, and a depressed personality can easily be formed over time. If treated as early as possible, it is also beneficial to the mental health of the child. Timing of orthopedic surgery If neurological surgery has not been performed, delay the surgery as much as possible and wait for a more stable development to perform surgical correction to avoid recurrence. Patients who have already undergone SPR surgery or SPN surgery should undergo corrective surgery within 3 months to 1 year after surgery. What is the principle of neurosurgery and will it lead to sensory loss? 1. By performing SPR surgery, the hyperactive gamma-loop is cut off and the detrusor reflex is diminished. 2.Since the posterior sensory root is partially severed, the preserved part can fully compensate for the function of the severed nerve. 3.After the nerve cut, the nerve fibers cannot be regenerated due to the blockage of the nerve fiber channel, which will not cause the spasm to recur. 4. Although there will be a short-term loss of sensation in the area innervated by the nerve root during the severing stage, it will disappear 1 week after the operation with the formation of compensation. Does anesthesia affect intelligence? Anesthesia mainly causes the patient to lose consciousness and to be in a state of sleep with no sensation of pain. As soon as the child enters anesthesia, he is given continuous oxygen until the end of the operation, so there is no hypoxia in the brain, and the anesthetic is excreted in the urine or detoxified by the liver and bile after 6 hours, so there is no effect on the brain. Statistics show that there have been no cases of anesthesia affecting intelligence. How to care for children with cerebral palsy after surgery 1. Prevention of decubitus ulcers The prevention and treatment of decubitus ulcers are not detailed here. 2. Prevention of urinary tract infection The main prevention of urinary tract infection is to wash the vulva and anus regularly. For those who have difficulty in urination, massage the bladder regularly, but do not put heavy pressure on it; when the condition permits, assist the child to get out of bed at an early stage to promote the emptying of residual urine from the bladder. In case of urinary retention, catheterization should be performed under strict aseptic operation, and if necessary, a catheter should be left in place or a closed bladder tidal flush should be performed. If the catheter is left in place for a long time, bladder flushing should be done regularly as prescribed by the doctor, and the sterile drainage tube and urine bottle should be changed daily. If there is urinary tract infection, use effective antibiotics in time and encourage drinking more water. 3. Prevention of pneumonia The child should pay attention to keep warm and avoid getting cold. Keep the respiratory tract open, encourage coughing, and turn and pat the back once every 2-3 hours. 4.Prevent intestinal flatulence and constipation Encourage children to eat more vegetables and fruits and less food that causes flatulence. In case of constipation, give laxatives or enema once every 2-3 days, or perform acupuncture therapy and abdominal massage. If necessary, use your fingers to pull out the stool. 5.Prevent bruises, burns and frostbite When hemiplegia is accompanied by confusion, bed rails should be added; when applying hot water bags, the water temperature should not exceed 50℃, and should be placed across the quilt, and the parts should be changed frequently; when doing hot compresses, acupuncture therapy, physical therapy or fire cupping, attention should be paid to prevent burns; when it is cold, the limbs should be warmed with cotton covers in time. 6.Prevent limb deformity and contracture and promote functional recovery The paralyzed limb should be kept in a functional position to prevent foot drop, and a foot brace or pillow should be used to support the foot. The physician or parents should massage the limb 1-2 times a day and give the child passive exercise. When motor function begins to recover, the child should be encouraged to carry out functional exercises of the upper limbs and trunk as soon as possible. When leaving the bed, give a wheelchair, paralysis cart or crutches and brace for protection and practice walking more often for early recovery of lower limb function.