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Principles of orthopedic surgery on patients with cerebral palsy and spasticity include the following:

  • Single event, multilevel surgery
  • Delay the operation for as long as possible, preferably until a child is at least 6 years old.
  • Use spasticity management tools as an adjuvant to surgical intervention. 

A variety of surgical techniques can be used to help correct the static and dynamic defects that occur in the patient with cerebral palsy and spasticity. These include:

  • Procedures to lengthen, transfer, or divide tendons
  • Relocate joints
  • Fuse joints
  • Rotate bones
  • Transect specific nerves, correct bony abnormalities, and release contracted skin.

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