DeLuca P A
Department of Orthopaedic Surgery, Newington Children's Hospital, CT 06111.
Clin Orthop Relat Res. 1991 Mar(264):65-75.
Surgical treatment of children with cerebral palsy has changed from staged, single joint procedures to comprehensive simultaneous bony and soft-tissue corrections. This regimen of treating multiple joint levels and planes of abnormality is subject to error when based solely on the clinical examination. A more scientific evaluation can be provided by the use of clinical gait analysis. Both preoperative and postoperative analyses provide the clinician with information from which neurologic patterns can be determined and surgical protocols can be judged.
脑瘫患儿的外科治疗已从分期的单关节手术转变为全面同步的骨性和软组织矫正。单纯基于临床检查来治疗多个关节水平和异常平面的这种治疗方案容易出错。使用临床步态分析可以提供更科学的评估。术前和术后分析都能为临床医生提供信息，据此可确定神经模式并评判手术方案。
