03/07/2026
Medical management of complications with Cerebral Palsy
Tendon lengthening-z type incision in muscle/tendon increase ROM, decrease muscle spasticity
Tendon transfer-correct deformity, improve alignment and function
Osteotomy-correct bony malrotation, realign joint, reduce sublux, increase efficiency
Arthrodesis-fuses to correct progression, align spine
SEMLS-single even multilevel surgery-combine soft tissue with bony
Stem cell therapies
Antiepileptic drugs
Antispasticity drugs-baclofen, botox, neurolytic blocks
Deep brain stimulator
Selective dorsal rhizotomy- ambulatory children with bilateral spastic CP, age 3-8,
Hip adductor spasticity lower than 3 on modified ashworth scale, GMFM-88 score >60%
Posterior (reverse wheeled) walkers
AFO with Footwear combination