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Paediatrics
intermediate
X-Type

Cerebral Palsy - Orthopaedic Management Principles

Neuromuscular Conditions

An 8-year-old child with spastic diplegic cerebral palsy (GMFCS Level III) is referred for assessment. She walks with a posterior walker and has increasing crouch gait. Hip surveillance radiographs show a migration percentage of 35% on the left. The parents ask about surgical options. Regarding orthopaedic management of cerebral palsy:

Mark each as TRUE or FALSE

A

The Gross Motor Function Classification System (GMFCS) is the most robust predictor of motor develop...

B

Hip displacement in cerebral palsy is often painless initially (silent dislocation) and may only cau...

C

Surgical procedures should be performed individually over multiple years (annual birthday surgeries)...

D

Single Event Multi-Level Surgery (SEMLS) performed at age 8-10 years addresses all deformities in on...

E

Spasticity (velocity-dependent tone, clasp-knife pattern) responds well to orthopaedic surgery while...

Answer the questions to see explanations

Click T (True) or F (False) for each option