Cerebral Palsy Surgery

  Most cerebral palsy can be treated surgically Pediatric cerebral palsy, also known as cerebral palsy, has been a very difficult road to treatment for families and children in the past, often consuming a lot of money, and even encountering some scams and huoyo, and not finding the right treatment path, and more unfortunately, the best time for treatment is missed as a result. To address this situation, it is necessary to remind parents to propose the right choice for the whole process of treatment in order to avoid unnecessary waste and choose the best treatment pathway to better grasp the timing of surgery.  After the correct diagnosis of cerebral palsy, a positive attitude should be adopted for treatment. Early on, the main focus is on rehabilitation training, and medication such as GABA can also be applied. Active training by parents can promote the ability to adapt to the environment, and family rehabilitation and community rehabilitation should be the main means of cerebral palsy rehabilitation. As the spastic muscles have difficulty synchronizing with the growth of bones as they age, various progressive deformities will develop.  Therefore, if active non-surgical treatment is ineffective or unstable, surgical intervention should be carried out as early as possible to avoid the development of deformities until excessive disability is caused. Delay in the timing of surgery due to subjective and objective factors will bring disastrous results to the child.  At present, experts in cerebral palsy surgery at home and abroad advocate that various forms of spasticity release surgery (SPR) treatment should be performed around the age of 3. Orthopedic surgery (including various forms of tendon lengthening and tendon severing) must be performed in stages under the premise of adequate spasticity release; otherwise, recurrence of spasticity is inevitable and long-term efficacy is poor, making the surgery fail.  It will also make people suspicious of the efficacy of the surgery and reluctant to accept the surgery, making it more difficult to carry out the work.  Cerebral palsy is divided into 8 types, 75% of which are spastic cerebral palsy and can be treated surgically. However, there are many methods of surgical treatment, and it is important to choose the best timing and surgical method. Many patients choose the orthopedic rehabilitation method, which can cause the deformity to recur and the spasticity to remain within a very short period of time after surgery.  The use of intraoperative multi-conductor electrophysiological monitoring technology and the selection of the treatment sequence of release of limb spasticity → rehabilitation → orthopedic → re-rehabilitation, which is consistent with foreign treatment models, can achieve the goal of returning the disabled to society with minimal medical expenses to ensure the surgical effect, reduce the risk of surgery, improve the surgical efficacy, and also avoid the recurrence of spasticity, improve motor function, and improve the patient’s quality of life and work ability.  According to the latest reports introduced by experts, this treatment technique is also applicable to patients with cerebral hemorrhage, traumatic brain injury, and the spastic paralysis state of limbs with the sequelae of brain and spinal cord surgery, limb inflexibility and limb pain, and excellent results have been received through clinical application.  The treatment of cerebral palsy should be carried out in a multidisciplinary way. Under the premise of correct diagnosis, active rehabilitation training should be carried out at an early stage, and if the effect is not good or the condition is recurrent, surgery should be carried out in time to release the excessive muscle tone as early as possible, and the necessary deformity correction should be carried out after the surgical release of spasticity.  Selective posterior spinal nerve root dissection and selective peripheral nerve dissection for spasticity should be performed before other surgeries, and orthopedic surgery should be performed in stages after the selective posterior spinal nerve root dissection according to the rehabilitation situation.