At present, the treatment of patients with spastic cerebral palsy should achieve two purposes: one is to reduce the excessive muscle tension and relieve muscle spasm. The second is to restore the basic functions of the limbs, so that patients can take care of themselves. The latter is based on the former. Therefore, in the final analysis, reducing muscle tension and relieving spasm are the primary tasks for the treatment of patients with spastic cerebral palsy.
Many patients and parents are concerned about whether FSPR or lower limb orthopaedic surgery should be performed first in the treatment of spastic cerebral palsy, which can only be determined after assessing the clinical signs and symptoms of the child. Generally, the following principles should be followed:
Must be clear about the order of the disease, must be due to the patient’s increased muscle tension, long-term spasm will appear in the lower limb deformity. Therefore, when contacting patients, it depends on the different stages of patients, that is, when patients have serious deformities, control and affect their motor ability, orthopaedic surgery can be considered first, but the control of time and cost should be done well, because once orthopaedic surgery is completed, the effect of parents’intuitive performance is good, if not. Reduce the patient’s muscle tone, orthopedic surgery will only solve the surface problem, recurrence will persist.
In general, as long as the patient’s general motor ability is acceptable and can walk independently or assist in walking, FSPR surgery should be performed first to reduce the muscle tension of the patient, the growth and development of the patient are not restricted, and the recurrence of long-term spasms should be prevented. Therefore, the general order of treatment is to perform FSPR surgery first. Six months to a year for orthopedic surgery.
The reason for orthopedic surgery
at an interval of six months to one year: after neurosurgery, it will also have a certain impact and injury on the patient’s muscle strength, which will affect 10-15% of the patient’s state, especially when many patients’original motor muscle strength is relatively poor, they need to rest for six months to restore the patient’s muscle strength. At the same time, after FSPR surgery, the patient’s ankle, knee and hip joints have been opened and repaired. After six months of exercise, orthopaedic surgery will be more accurate and in place.
For specific cases, patients can not tolerate FSPR surgery, or the current deformity has seriously restricted the movement of patients, when simple FSPR surgery can not relieve the problem, they choose the inverted way, or because in the process of patients seeking medical treatment, the orthopaedic surgeon has completed the orthopaedic surgery. This is called de facto upside-down, which can only be quickly followed by FSPR surgery to prevent recurrence and thoroughly solve the cause and root cause of the disease, which is the order of general treatment.
