Orthopedic management of cerebral palsy: past, present, and future

Abstract

Cerebral palsy is a neurological disease accompanied by orthopedic complications. To date, orthopedic treatment of cerebral palsy remains one of the basic approaches. Knowledge of history is the key to understanding the present and a bridge to the future. It gives us insight into the evolution of understanding of the problem, views on the possibilities of treatment, and personalized approach to the patient. The article describes the evolution of knowledge and approaches of treatment to children with cerebral palsy from ancient times to the present day. The main milestones of the neuro-orthopedic approach to diagnosis and treatment are reflected. In improving the surgical treatment of children with cerebral palsy, it is necessary to rely on a multidisciplinary approach, early detection of orthopedic pathology, personalization, taking into account the psychological and social effect of surgical treatment, and development and improvement of surgical techniques. The lecture was presented at a scientific conference with international participation Correction of motor disorders in the complex of medical habilitation of children with cerebral palsy. Saint Petersburg, November 2021, 2019.