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The Neuro-Orthopaedic Approach.

Matthew T Winterton1, Keith Baldwin2

  • 1Department of Orthopaedic Surgery, Children's Hospital of Philadelphia, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA.

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|January 11, 2019
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Summary

Upper motor neuron disease causes muscle spasticity, leading to functional deficits. A multidisciplinary approach, including surgical interventions, addresses these neuro-orthopaedic challenges to improve function and quality of life.

Keywords:
ContractureDeformityNeuro-orthopaedicsSpasticityUpper motor neuron disease

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Area of Science:

  • Neuro-orthopaedics
  • Neurology
  • Orthopaedic Surgery

Background:

  • Upper motor neuron disease or injury results in muscle spasticity and nonfunction.
  • Muscle force imbalance contributes to functional deficiencies, contractures, pain, and hygiene issues.

Purpose of the Study:

  • To outline the multidisciplinary approach for neuro-orthopaedic patients.
  • To detail surgical considerations and techniques for managing spasticity-related deformities.

Main Methods:

  • Evaluation of neuro-orthopaedic patients requires consideration of deformity, functional potential, pain, hygiene, and cosmesis.
  • Surgical interventions are tailored to individual patient needs.

Main Results:

  • A variety of nonsurgical and surgical options are available for managing upper motor neuron disease complications.
  • Surgical techniques encompass tendon lengthenings, releases, transfers, osteotomies, and bony fusions.

Conclusions:

  • A multidisciplinary strategy is essential for optimal outcomes in neuro-orthopaedic patients.
  • Surgical management aims to improve function, alleviate pain, and enhance hygiene and cosmesis.