Minor surgery solves major problems in patients with cerebral palsy Cerebral palsy is a non-progressive lesion of the brain that develops permanent but variable motor and postural abnormalities due to various causes between gestation and the neonatal period. Its symptoms appear before the age of 2 years. Cerebral palsy is the most common congenital or perinatal brain dysfunction syndrome occurring in children. The prevalence of children with cerebral palsy in China is 1.8 to 4 per 1,000, accounting for the highest number of pediatric neurological and genetic counseling visits. There are many ways to classify cerebral palsy, and it is often divided into spastic, tardive dyskinesia, ataxia, tremor, mixed type, etc. Generally, low birth weight infants and those with a history of asphyxia are prone to spasticity, which accounts for 60-70% of children with cerebral palsy. Among the spastic cerebral palsy, a large proportion of patients show tightly combined or even crossed lower extremities and inversion of both feet. Early rehabilitation can help to prevent tendon contractures, but it cannot solve the fundamental problem of the patient, and there is nothing we can do for deformities such as tendon contractures and inversion of the feet. Surgery can be very effective for patients of all ages. When it comes to surgery, parents are often worried and even resistant. Will surgery do that much good? The surgery won’t be bad, right? If you can walk before surgery, you won’t be able to walk after surgery, right? All kinds of questions. This is a very normal psychology. What exactly is the problem with surgery? Let’s say that the child’s legs cannot be separated, which is equivalent to a thick leather band between the two legs, and the surgery is to thin the leather band. This is the case for children aged 2-6 years old or after rehabilitation, without tendon contracture. When there is a tendon contracture, the contracted tendon should be cut off, which is equivalent to cutting the leather band and then attaching a piece of string, then the child’s legs can be easily separated. The reasoning is simple, but it needs to be done very carefully. During the surgery, we have to distinguish the nerves that innervate different muscles under the microscope and cut different proportions depending on the muscle spasm. The tendon tissue hidden in the muscle is also cut. Although the surgery is small, it can solve a big problem. Once you understand the surgery, I believe you will choose the right time for your child to be actively treated surgically. The surgery is less traumatic and the recovery is quicker, and the results will be more obvious after the surgery with rehabilitation training and wearing orthotics. Comparison of pre-surgery and post-surgery hip inversion and internal rotation