Current Concept and Management of Spastic Hip in Children: A Narrative Review

Mohammed H Al-Rumaih1,2, Mark W Camp3,4, Unni G Narayanan3,4,5,6

  • 1Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh, SAU.

Cureus
|August 14, 2023
PubMed

Insights

This review summarizes current treatments for spastic hips in cerebral palsy (CP), covering conservative and surgical options. It evaluates their success, risks, and explores emerging therapies for this condition.

Area of Science:

  • Orthopedics
  • Neurology
  • Pediatrics

Background:

  • Cerebral palsy (CP) is a non-progressive neurological disorder affecting motor function and posture.
  • Spastic hips are a common complication in CP, leading to pain, deformity, and functional limitations.

Purpose of the Study:

  • To provide a comprehensive overview of recent treatment modalities for spastic hips in cerebral palsy.
  • To analyze the efficacy and potential risks associated with various conservative and surgical interventions.
  • To explore novel therapeutic approaches and future directions in managing this complex condition.

Main Methods:

  • Systematic literature review of recent studies on spastic hip management in CP.
  • Analysis of clinical outcomes, success rates, and complication profiles of different treatments.
  • Evaluation of emerging and experimental therapeutic strategies.

Main Results:

  • Conservative treatments offer symptomatic relief but may not address underlying spasticity.
  • Surgical interventions can correct deformities and improve function but carry inherent risks.
  • Emerging therapies show promise in addressing spasticity and improving long-term outcomes.

Conclusions:

  • A multidisciplinary approach is crucial for optimal management of spastic hips in CP.
  • Treatment selection should be individualized based on patient-specific factors and goals.
  • Continued research into innovative treatments is essential for improving quality of life for individuals with CP.