Problem: Young adults with spastic cerebral palsy who do not undergo surgery for persistent deformity feel lots of problems in ambulation. As their age increases their ambulatory condition further deteriorates with an increase in weight & muscular weakness.
Management Protocol: Every child with cerebral palsy needs long-term follow-up to look after deterioration, new development of deformity and need for any further intervention. In infancy they require therapy, between 2-6 years of age therapy with or without botulinum toxin and 6-10 years of age SEMLS to correct all the deformities surgically and after puberty they may need a final plan of any further surgical intervention & rehabilitation. With properly planned surgical intervention at their ideal age with a brace & continuation of physical therapy, the child may not need second-stage surgical intervention.
