Introduction and treatment of cerebral palsy

  Cerebral palsy (CP), or cerebral palsy for short. It was first systematically described by William John Litter (1810-1894), the founder of British orthopaedic surgery, in 1853 in On the Nature and Tretment of Thpeformities of the Human Frame, and was defined in China in 1968 as pediatric cerebral palsy, which is based on non-progressive lesions of the brain caused by various causes between gestation and the neonatal period, resulting in permanent, but variable, abnormalities of movement and posture. The symptoms appear before the age of 2 years. Exceptions are progressive disease and transient movement disorders, as well as motor developmental delays that may normalize in the future.  Treatment consists of two main categories: dystonia adjustment and orthopedics. Selective posterior spinal nerve rhizotomy is the most definitive treatment for spastic cerebral palsy and other spastic paralysis of the limbs following brain injury. The main principles of orthopedic surgery are correction of negative gravity lines, balance of muscle strength, stabilization of joints, and isometric limb length. Other approaches include partial dissection of the sympathetic network of the common carotid artery and peripheral nerve surgery.  Individualized treatment is the general principle.