Abstract
Персонифицированный подход к лечению опорно-двигательных нарушений нижних конечностей при спастических формах детского церебрального паралича
Highlights
This study is based on the results of surgical treatment of 718 patients with musculoskeletal disorders against the background of spastic cerebral palsy
The functional characteristics of the patients in both groups were compared before and after the surgical treatment according to the Gillette FAQ (Fig. 1)
Based on the analysis of the functional results, a higher efficacy of surgical treatment was noted in children with Cerebral palsy (CP) in group 2
Summary
This study is based on the results of surgical treatment of 718 patients with musculoskeletal disorders against the background of spastic cerebral palsy. Of these 718 patients, 242 constituted study group 1 (a retrospective study), in which the treatment approach was based on the general principles of orthopedics. Based on a comparative assessment of the Gillette Functional Assessment Questionnaire and data from a gait video analysis, there was an improvement in the results of surgical treatment and a reduction in the length of postoperative rehabilitation in children with musculoskeletal disorders of the lower limbs in spastic forms of cerebral palsy. When discussing the main modern approaches to the treatment of CP, we must consider several complex and unresolved issues relating to the radical modernization of tactics, methods of conservative and surgical treatment, and changes in the postsurgical rehabilitation strategy of children with the spastic form of CP
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