The clinical application of highly selective peripheral neurotomy

Objective To study the clinical application of highly selective peripheral neurotomy in treating children with spastic cerebral palsy.Methods 25 CP patients who might walk without assistance were treated with the highly selective peripheral neurotomy and traditional operation to tendons and bones.Their pre operative and post operative status were valued by the same evaluation criterion.Results 15 post operative children were followed up.The symptom of high muscle tension was relieved after operation.Scissor gait was improved or disappear.Deformity of club foot was corrected.The muscular strength of lower limb became more equilibration and the stability of gait was strengthened.When we dismantled the plaster 6 weeks after the operation,we found that the shape of the feet and joints were good.3 months after the operation,the muscular strength of lower limb recovered well and the symptom of spasm was changed greatly.6 months after the operation,the children can walk themselves or with the help of others.Conclusion The highly selective peripheral neurotomy is effective to spastic cerebral palsy.