Treatment protocol in late adolescent & young adult
Problem: Young adults with spastic cerebral palsy who do not undergone surgery for persistent deformity feel lots of problems in ambulation. As their age increase their ambulatory condition further deteriorate with increase in weight & muscular weakness.
Management Protocol: Every child with cerebral palsy need long term follow-up to look after deterioration, new development of deformity and need of any further intervention. In infancy they require therapy, between 2-6 year age therapy with or without botulinum toxin and 6-10 year age SEMLS to correct all the deformities surgically and after puberty they may need final plan of any further surgical intervention & rehabilitation. With properly planed surgical intervention at their ideal age with brace & continuation of physical therapy, child may not need second stage surgical intervention.