ORTHOPEDIC SURGERY IN CEREBRAL PALSY

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Abstract
The results of orthopedic surgery in cerebral palsy mainly depend on the selection of patients and of surgical procedures and on preoperative and postoperative care. Proper evaluation of indications and contraindications and a correct choice of the surgical measures to be employed are as important as skillful technical performance of the operation. Preoperative measures that permit a successful result and postoperative measures that retain and enhance the benefits of surgery are also essential if maximal benefit is to be obtained from the operative work. INDICATIONS AND CONTRAINDICATIONS FOR SURGERY Children with cerebral palsy generally have a specific type of muscle abnormality. The great majority are either spastic or athetoid patients, although the two forms coexist in approximately 15 to 20% of cases. The following principles may be applied in the orthopedic management of both spastic and athetoid patients. 1. Careful evaluation of the type of cerebral palsy, the associated defects,

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