Kangkang (a pseudonym), 6 years old, was born at full term. At birth, his umbilical cord was wrapped around his neck, causing hypoxia, and he was discharged from the neonatal care unit after five days of treatment and observation. During his subsequent growth and development, his mother noticed that Kangkang was much slower than other children. He couldn’t hold his head up properly when he was five or six months old, couldn’t turn over on his own when he was almost one year old, and couldn’t walk when he was one and a half years old. The family thought it was caused by a lack of calcium, so they often gave him calcium tablets and calcium injections, but nothing worked. When he was two years old, Kangkang went to the local hospital for examination and was diagnosed as pediatric cerebral palsy by the doctor, and then he underwent three years of hyperbaric oxygen therapy and functional rehabilitation training, and finally he could walk, but he must hold on to the wall or be guided by his parents, and his walking posture was very unsightly, with his heels not touching the ground, his toes touching the ground, and he was in the form of scissor gait, and there were obvious symptoms of inversion of the foot and the knee was in the form of flexion, and it was a kind of “duck gait”. “He is mainly a problem of the lower limbs, the good thing is that the development of the upper limbs are very normal, the intellectual development is also very good, and also quite smart, otherwise there is really no hope…” Kang Kang’s mother said. In order to seek treatment, his parents brought Kangkang to the hospital to see Prof. Wang Xuelian. After examination, it was found that Kangkang suffered from “spastic cerebral palsy”, which was very consistent with the indications of FSPR (Functional Selective Posterior Crural Nerve Root Dissection) surgical treatment, which was attributed to the fact that Kangkang’s parents had been giving continuous rehabilitation training to Xiao Lin. Prof. Wang Xuelian’s team conducted a detailed case discussion and formulated a detailed surgical treatment plan. After that, Prof. Wang Xuelian, together with Dr. Li Jiaming and Dr. Jing Jiangpeng, performed the FSPR surgery for Kangkang. The whole operation went smoothly and Kang Kang’s muscle tone in both lower limbs was significantly reduced compared to the pre-operative period. After four days, Kang Kang got out of bed and no longer had a “duck gait”. It is believed that through continuous rehabilitation training, Kangkang will be as close to a normal child as possible. The causes of pediatric cerebral palsy Dr. Jing Jiangpeng said, “Pediatric cerebral palsy can occur before, during, and after birth. For example, parents’ alcoholism, smoking and drug addiction may cause viruses to invade the child’s nervous system during pregnancy, leading to cerebral palsy; diabetes, vaginal bleeding, hypertensive disorders during pregnancy, placenta praevia, preeclampsia, preeclampsia, or the use of contraceptives to treat infertility, birth control drugs, and so on, lead to cerebral palsy; and the child’s birth is difficult, preterm, umbilical cord wrapped around the neck, placenta previa, rupture of amniotic fluid, and cerebral oxygen deprivation, which can result in necrosis of the child’s brain cells, leading to cerebral palsy. necrosis, which leads to cerebral palsy.” Spastic cerebral palsy accounts for 95% of children with cerebral palsy Dr. Lee Ka Ming said, pediatric cerebral palsy is divided into 8 types, 75% of which are spastic cerebral palsy, and its movement disorders can involve the whole body, and the clinical involvement of both lower limbs is the most common, which mainly manifests itself in the posture of lower limbs with flexed knees and hip joints, toes to the ground when standing, tip-toes and heels to the ground when walking. Pediatric cerebral palsy requires early detection and rehabilitation, and some of the children have satisfactory rehabilitation results and even do not need surgery. However, for children older than 3 years old, especially those with spastic cerebral palsy, the general rehabilitation treatment can no longer achieve the effect of functional rehabilitation. At present, the international standardized diagnosis and treatment process should be rehabilitation → FSPR surgery → orthopedic surgery → rehabilitation, and one-sidedly emphasizing the efficacy of a certain method or a certain technique is unscientific and undesirable. FSPR surgery can effectively relieve spasticity FSPR surgery is by far the most effective treatment for spastic cerebral palsy, which has the highest morbidity rate. FSPR surgery can maximize the adjustment of the patient’s muscle tone, so that the spastic muscles of children with cerebral palsy are as close as possible to the normal state. Moreover, this kind of spasticity relief is a long-term, stable and complete solution to the spasticity of the patient’s muscles, which lays the foundation for the rehabilitation of children with cerebral palsy.FSPR surgery is much safer and more reasonable than the traditional cerebral palsy treatment surgeries, and the technique has different treatment plans according to the specific conditions of the children with cerebral palsy, e.g., in the case of the spasticity of the upper limbs of the child, the surgery can be performed at the cervical vertebrae; and for the spasticity of the lower limbs of the child, the surgery can be performed at the lumbar spine. For example, in children with upper limb spasticity, surgery can be performed in the cervical spine; in children with lower limb spasticity, surgery can be performed in the lumbar spine.