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Brain Science Advances 2020, 6(1): 2-19 https://doi.org/10.26599/BSA.2020.9050001
Review Article | Open Access | Issue | Published: 17 July 2020

Orthopedic treatment of the lower limbs in spastic paralysis

Show Author's Information Xiaohong Mu,  Bowen Deng,  Jie Zeng,  Houjun Zhang,  Yi Zhao,  Qi Sun,  Jie Xu,  Le Wang,  Lin Xu( )
Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
Keywords:
musculoskeletal deformity, orthopedic surgery, spastic cerebral palsy, spastic paralysis, selective posterior rhizotomy
Cite this article:
Mu X, Deng B, Zeng J, et al. Orthopedic treatment of the lower limbs in spastic paralysis. Brain Science Advances, 2020, 6(1): 2-19. https://doi.org/10.26599/BSA.2020.9050001
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Abstract Full text About this article

Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.


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About this article

Orthopedic treatment of the lower limbs in spastic paralysis

Show Author's information Xiaohong Mu, Bowen Deng, Jie Zeng, Houjun Zhang, Yi Zhao, Qi Sun, Jie Xu, Le Wang, Lin Xu( )
Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China

Abstract

Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.

Keywords: musculoskeletal deformity, orthopedic surgery, spastic cerebral palsy, spastic paralysis, selective posterior rhizotomy

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Received: 16 December 2019
Revised: 05 February 2020
Accepted: 11 February 2020
Published: 17 July 2020
Issue date: March 2020

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