Although the central nervous system lesions are static, the secondary lesions of the skeletal muscle system gradually worsen with growth and development. The main manifestations are spasticity syndrome due to upper motor neuron loss, muscle weakness due to upper and lower motor neuron liaison disorders, poor muscle motor control, poor balance and sensory deficits causing clinical syndromes. The growth rate of skeletal muscle in children with spastic cerebral palsy is 55% of that of skeleton, so it eventually causes muscle shortening and joint instability of skeletal torsion. This results in contracture and deformation of the joints and tendons of the limbs and deformed skeletal development. Orthopedic surgery for cerebral palsy is a strategy to improve limb spasticity, correct deformities, balance muscle strength, stabilize joints, and re-establish static and dynamic balance in the lower extremities through simultaneous surgery at multiple levels or multiple joints. Because there is no reduction of muscle tone, after a certain interval of time after simple orthopedic surgery, as the patient grows older, the muscles will relapse and again the muscles will shorten, the bones will twist and the joints will become unstable. Therefore, we request that FSPR (Functional Selective Partial Posterior Spinal Nerve Root Resection) be considered first when the surgical guideline is reached, and then orthopedic surgery be considered in the second stage according to the situation, combined with postoperative rehabilitation to restore the patient’s mobility to the greatest extent possible.