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CASE REPORT
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 45-48

Single event multi level orthopedic surgery in a teenager having spastic triplegic cerebral palsy


1 Faculty of Health Sciences, Sam Higginbottom Institute of Agriculture Technology and Sciences, Allahabad, Uttar Pradesh, India
2 Therapist Incharge, Samvedna, Allahabad, Uttar Pradesh, India

Correspondence Address:
Jitender Jain
Trishla Orthopedic Clinic and Rehab Center, 182c/350a, Tagore Town, In Front of Colonelganj Inter College, Allahabad, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-4264.153575

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An 18-year-old boy with spastic triplegic cerebral palsy was not able to stand or walk without support (GMF Score: Level-4) and even not able to hold things with his right hand. He had undergone orthopedic surgeries previously twice in both the lower limbs and right upper limb. He also underwent static magnetic field (SMF) of median nerve for pronator and wrist flexor spasticity in right upper limb. Single Event Multilevel Orthopedic Surgeries (SEMLOS) were performed in both the lower limbs and in right upper limb with derotational osteotomy on right proximal femur and fixation with DHS. On complete reassessment 1 month after the surgery it was found that he also had lots of trouble in sensory feedback. He was given first sensory integration followed by other therapeutic exercises. Now, he is fully independent and is able to walk with elbow crutches as well as two stick support for a long distance (GMF Score- level 3). Grip as well as release of fingers in right hand have also improved.


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