Pediatric Orthopedics

Cerebral Palsy

Cerebral palsy

Cerebral palsy is a non-progressive central nervous system disease. Posture and locomotor system problems are the main problems in the disease. It is classified according to the involved central nervous system area.

Spastic cerebral palsy

Spastic type is seen with motor cortex involvement. Spasticity is the main problem in this type. Spasticity is charactherized with increas in muscle tone. Increased tone effects the posture. Increased tone if untreated causes shorthening of the muscle first and  later joint contractures and bony deformities develop inevitably.

If the spasticity is dominant in lower extremities then it is called spastic parezi, whereas, in ipsilateral upper and lower extremities involvement it is named as spastic hemiparesia. When all extremities involved, it is classified  as spastic quadriparesia.

On the early stages and ages spasticity is the main problem and it should be treated to prevent muscle, joint contractures and bony deformities. In this stage, physical theraphy, occupational theraphy, and spasticity treatment are commenced. Botulinum toxin, Baclofen pump application, selective neurotomy and selective dorsal rhizotomy are used in the treatment of cerebral palsy.

However, when contracture and/or bony deformity and/or joint subluxation develops, your pediatric orthopedic surgeon may plan on surgeries. Surgery planning is very crucial. Pediatric orthopedic surgeon experienced in neuromuscular diseases can make appropiate and meticulously tuned surgery on case based needs.

 

 

 

About the author

Prof.Dr. Seref Aktas