Help & FAQ

Help & FAQ

It refers to a surgery for the treatment of the spasticity found in children with cerebral palsy and is usually performed under a general anesthetic.

It works well for children of all ages, as well as for adults. Because it uses micro incisions, there is very little scar that forms. This allows the procedure to work well even for groups that have a reputation for recurrent contracture following conventional tendon lengthening surgery such as very young children and adolescents.

You will need knee immobilizers and cast shoes.

You will return home the same way you arrived. Because the child will be wearing knee immobilizers, he/she normally takes the back seat and rests his/her back on the person accompanying the child.

As you normally do, covering the casts with special waterproof bags.

When the lengthening is performed on the calf muscle, usually three weeks.

Until the muscle is fully developed, however, in some cases they can be removed for a few days, following doctor’s instructions.

Cycling, swimming, martial arts, football, basketball etc.

Through small incisions in the myofascia, the muscles with spasticity are lengthened.

The aim of the procedure, in combination with functional physical therapy and the collaboration of the family and environment, is for the child to gain maximum functional independence with regards to his/her problem.

The child does not stay in hospital; he/she can return home on the same day.

Following doctor’s orders, it is usual to prescribe pain killers every four hours and it is advised that the child also take a pain killer half an hour before physical therapy.

During the first week, the child will wear the knee immobilizers 24 hours per day and will remove them every two hours in order to exercise and walk. It is advisable that the child rests in a long chair with the legs spread apart.

When the child is strong enough, following doctor’s instructions.

8 to 10% of children might. It usually is children who do not wear their knee immobilizers and AFOs during the night and children whose physical therapy program is aimed at stretching rather than strengthening and functional rehabilitation.

Common areas for surgery are the groin area, the hamstring, and the calf.

The alcohol nerve block is a common procedure that is done at the same time as SPML in order to alleviate the scissoring gait and to help the child move its legs independently. The results are immediate.

Children who have the SPML procedure are allowed to walk when comfortable (usually the next day) and physical therapy begins on the same day.

Comfortable, loose fitting clothes are best.

After seven to ten days. It is advisable that the school follows the physical therapists’ instructions with regards to the seating and mobilization of the child.

Trainers, after you have removed the interior soles.

It is essential that the child participate in exercise classes in school, as well as in all other extracurricular physical activities.

Dr. Nuzzo’s web site (www.pediatric-orthopedics.com) reports that in a 5 year review of 278 cases there were 0.01% post op admissions (4 cases, single night). There were no cases of infection, over-lengthening, and significant hematoma. Parent satisfaction was positive in 100% with similar follow up survey results one year later. Repeat procedures at any location were 10%.

What is SPML

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