Green N E
Instr Course Lect. 1987;36:253-65.
The surgical treatment of children with spastic cerebral palsy should be directed at all the problems of the child rather than focusing on one problem area at a time. Although the difficulties encountered by these children can be divided into separate areas for discussion, treating one problem without consideration of the others will result in unnecessary additional hospitalization for subsequent operations. In addition, since each joint is intimately linked to another, surgical treatment of one joint problem may lead to worsening of an adjacent joint deformity unless it too is addressed. Thus, the surgical care of the lower extremities in spastic cerebral palsy requires that the entire patient be evaluated and all necessary surgical procedures be coordinated.
痉挛性脑瘫患儿的外科治疗应针对患儿的所有问题，而不是一次只关注一个问题领域。尽管这些患儿所面临的困难可分为不同领域进行讨论，但只治疗一个问题而不考虑其他问题将导致后续手术不必要的额外住院治疗。此外，由于每个关节都与另一个关节紧密相连，除非对相邻关节畸形问题也进行处理，否则对一个关节问题进行手术治疗可能会导致其恶化。因此，痉挛性脑瘫患儿下肢的外科治疗需要对整个患儿进行评估，并协调所有必要的外科手术。
