How do surgery and rehabilitation work together in the treatment of spastic cerebral palsy?

  Due to the plasticity of immature human brain tissue, as the pediatric nervous system continues to develop and mature and the myelination of nerve fibers continues to improve, pediatric cerebral palsy patients with early intervention can make the motor dysfunction and other concomitant dysfunctions caused by the injury improve or even approach normal.  This requires close cooperation between parents and medical personnel to keep track of abnormal signs in high-risk newborns for early diagnosis and treatment. First of all, children born prematurely, with a history of asphyxia at birth, or with pathological jaundice after birth should be closely followed up and observed. If you find that the baby is easily frightened, cries more than once, has difficulty sleeping, has difficulty feeding, has difficulty swallowing and chewing, has embrace-like fright with crying when hearing sounds or changing position, has reduced voluntary activities, and has head and body jerking backward when crying; at 4-5 months, the baby’s head is still not straight, the eyes do not follow objects, and does not reach for objects; at 6-8 months, the baby still does not sit alone, parents should promptly take the baby to a medical institution specializing in cerebral palsy treatment. The diagnosis will be made by the pediatric neurologist after the examination and the imaging characteristics.  For spastic cerebral palsy patients, in addition to surgical treatment at the appropriate age (3 to 8 years old), postoperative orthopedic surgery (i.e., corrective treatment for deformities such as scissor gait and clubfoot) and rehabilitation training should be performed to ensure the most satisfactory results.  For patients with spastic cerebral palsy, FSPR (functional selective posterior spinal nerve root dissection) is currently one of the most suitable surgical procedures. By treating the posterior spinal nerve roots during the operation, the patient’s muscle tone is comprehensively adjusted so that the muscle tone of the spastic muscles is as close to normal as possible. In addition, the muscle spasm of cerebral palsy patients is not limited to a single muscle, but often manifests as spasm of multiple muscles or muscle groups, and the operation can achieve a comprehensive adjustment of muscle tone, and can provide a long-term, stable and complete solution to the pain of muscle spasm, providing the prerequisite for the maximum recovery of their motor functions.  Postoperative rehabilitation is also important, and patients should be given comprehensive rehabilitation treatment, including: motor training and upper limb occupational therapy for limb movement dysfunction; speech therapy, music therapy, special education for older children, cultural and physical therapy, and sensory integration training to promote language and intellectual development; drugs to improve brain tissue nutrient metabolism and protect neurons (nerve growth factor, ganglion The child’s age should also be taken into account. In addition, according to the age of the child and the degree of dysfunction, the necessary orthopedic devices should be used to help improve motor function.  Even after receiving the most appropriate surgical treatment, we should insist on long-term systematic rehabilitation training to ensure the treatment effect of the child.