Single-Event Multilevel Surgery to Correct Movement Disorders in Children with Cerebral Palsy
AORN Journal
|October 31, 2018
Summary
Cerebral palsy (CP) management is evolving. Single-event multilevel surgery, guided by computerized motion analysis, offers improved outcomes for children with CP
Area of Science:
- Orthopedics
- Pediatric Neurology
- Rehabilitation Medicine
Background:
- Cerebral palsy (CP) is a prevalent motor disability impacting children's gait, balance, and posture.
- Traditional management involved sequential, single-level surgeries for gait deviations.
- Severe abnormalities can hinder ambulation and daily living activities.
Purpose of the Study:
- To inform perioperative nurses about CP movement disorders treatable with single-event multilevel surgery (SEMS).
- To explain the role of computerized motion analysis (CMA) in SEMS treatment decisions for pediatric orthopedic patients with CP.
- To review current treatment options for movement disorders in children with CP.
Main Methods:
- Review of current literature on CP management, SEMS, and CMA.
- Discussion of the application of CMA in surgical planning for ambulatory pediatric orthopedic patients.
- Overview of surgical and nonsurgical interventions for CP-related movement disorders.
Main Results:
- Computerized motion analysis enhances treatment planning for SEMS.
- SEMS allows for simultaneous correction of multiple gait deviations.
- Advances in orthopedic fixation have improved SEMS outcomes.
Conclusions:
- SEMS, informed by CMA, represents a significant advancement in managing CP-related gait abnormalities.
- Perioperative nurses play a crucial role in optimizing care for children undergoing SEMS.
- A multidisciplinary approach is essential for effective CP management.
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