Pediatric cerebral palsy is not completely curable

  Having cerebral palsy not only causes tremendous financial pressure on the family, but also deprives the patient of the happy childhood he or she should have had. The first thing many parents want to know is how to treat it and whether it can be cured. The answer is no, which is probably cruel to most of the children and parents. However, although pediatric cerebral palsy cannot be completely cured or rehabilitated, it can be rehabilitated to the maximum extent through our treatment, so that children who cannot walk can walk, children who need aids can walk independently, and children with postural disorders can recover to be close to normal.  Therefore, first of all, it is necessary to establish a concept for children and parents that pediatric cerebral palsy can be treated, but not completely cured. First of all, let’s start with the etiology of cerebral palsy. Cerebral palsy is a brain injury caused by the child before, during or after birth, and the injury is transient, and this injury does not last. Moreover, it is impossible to treat cerebral palsy by starting from the damaged brain, because once the brain nerves are damaged, it is impossible to regenerate and be repaired. Therefore, we cannot solve the factors that cause pediatric cerebral palsy at the root, and we will not completely cure pediatric cerebral palsy.  Once pediatric cerebral palsy is found, parents do not need to be overly nervous, as long as we set up the correct treatment concept and grasp the timing of treatment, we can make cerebral palsy patients infinitely closer to normal people. So how should pediatric cerebral palsy be treated and how to grasp the best time for treatment?  1, insist on rehabilitation, rehabilitation is the most effective way to treat pediatric cerebral palsy in the early stage, the rehabilitation mentioned here is not simply scratching the child’s muscles, but needs to be guided by a rehabilitation teacher in a professional pediatric cerebral palsy rehabilitation institution.  2. The rehabilitation time of pediatric cerebral palsy is also related to the degree of the child’s illness. If it is severe cerebral palsy, then this treatment period is longer.  If parents do not get a clear diagnosis for their child in time, the child’s cerebral palsy treatment may be delayed. The younger the child with cerebral palsy, the greater the chance of recovery.  The most effective treatment method is FSPR surgery. In recent years, with the advancement of basic medicine, the update of equipment, the application of multi-conductor electrophysiological recorder, and the introduction of multi-operative treatment plan, FSPR (selective posterior spinal nerve root amputation) has made great progress, from anatomical surgery to functional surgery, which is FSPR, or functional selective posterior spinal nerve root dissection.  FSPR is performed by intraoperative monitoring through multi-conductor electrophysiological techniques to determine the proportion of posterior spinal nerve roots to be resected, making the extent and proportion of sensory nerves to be resected more scientific and objective. The patient’s muscle tone is adjusted comprehensively so that the muscle tone of spastic muscles is as close to normal as possible.  The muscle spasm in cerebral palsy patients is not limited to a single muscle, but often manifests as spasm of multiple muscles or muscle groups, and the procedure can achieve comprehensive adjustment of muscle tone, and can provide a long-term, stable and complete solution to the patient’s muscle spasm pain, providing the prerequisite for the maximum recovery of his motor function.  It is worth mentioning that FSPR only selectively blocks part of the posterior nerve root fibers and does not affect the anterior nerve roots and motor functions that govern muscle movement. The specific site of surgery can depend on the patient’s specific condition: surgery in the lumbar spine can address spasticity in the lower extremities, and surgery in the cervical spine can address spasticity in the upper extremities. The efficacy of surgery in the lumbar and lumbosacral regions is basically the same, but surgery in the lumbar region is risky and has many complications. Currently, the main choice is to operate in the caudal part of the lumbosacral region, which reduces the risk of surgery and complications. The efficacy of cervical FSPR is not as good as that of lumbosacral, so the improvement of symptoms in the upper extremity is not as good as that in the lower extremity.  We will make a set of scientific and reasonable individualized treatment plan including preoperative evaluation and selection of appropriate methods before each surgery for different patients, and also should insist on long-term formal rehabilitation training after the implementation of FSPR, so as to ensure the rehabilitation efficacy.