Problem: Traditional surgery in cerebral palsy sometimes can harm in the place of benefit. In the traditional concept, surgical intervention is based on the static evaluation & usually done in stages. Now a days surgical intervention is based on detail analysis of child which include static physical examination, gait analysis & examination under-anaesthesia. We always try to correct all possible deformity during single stage surgery (SEMLS).
Management Protocol: Most of the time, it is not possible to correct the problems which arise as a result of traditional surgery in previously operated patient but still few patients can improve with revision surgery. Other children with cerebral palsy who have been managed with latest concept of SEMLS at early age (6-9 year) but left out with some residual deformity or develop new problem at later age, need surgery to prevent further deterioration. All these problems need detail physical examination, gait analysis & examination under anaesthesia.
