Role of surgical intervention in children with cerebral palsy arise when we think that child is not improving with therapy any more & he resist to go for therapy at all. If none responding to therapy is because of development of fix deformity, weakness in some group of muscle, contracture of muscle & tendon along with torsional deformity of bone then child really need some intervention to tackle this entire problem. In early age it can be managed by therapy & braces and some time botulinum toxin.
Most of the time, gait is matured between the age of 5-6 year age. After maturity of gait all these measure fail to give any benefit to these children then we really need some surgical intervention to prevent development of permanent deformity that can interfere in further functional improvement. Ideal age of surgical intervention is about 6-9 year age.
Every parents of children with any kind of physical disability specially cerebral palsy will have a desire of nearly normal looking his own child as much as possible & he/she will try their best to get this outcome. In search of best outcome, they will always wondering from one place to other. When their child has minor disability then they will always looking for the measure that can manage their complete problem so that their child can play around like other children and their child can mix up with their peer group so that their child never feel ashamed of disability. Now early surgical intervention by the concept of SEMLOSSS can give rise to excellent recovery in the children with cerebral palsy & mild to moderate disability. Link to this you tube video to have real story in these children — http://youtu.be/7HieYTYEknc
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Dr J K Jain