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Abstract

OPEN VERSUS PERCUTANEOUS ELONGATION OF TENDO ACHILLES IN PATIENTS WITH SPASTIC CEREBRAL PALSY

*Dr. Haider Khalil Hussein Al Azzawi, Dr. Mohammed Tarish Ali Al Quraishy and Dr. Haval Sardar Abdulrahman

ABSTRACT

Cerebral palsy (C. P) it is a group of non- progressive motor problem and physical disorders that result from immature brain injury or abnormal brain development, which may occur before, during, or shortly after birth. It appears during the first few years of life and generally doesn't worsen over time. The disorders are caused by faulty development of or damage to motor area in the Although C.P is a non-progressive disorder, which means that the symptoms neither worsen nor improved over time, the manifestation of the symptoms may become more severe over time; for ex.: Rigidity of muscles can lead to contractures and deformities that require a variety of interventions. Children with C.P make up the largest group of pediatric patients with neuromuscular disorders. The occurrence of C.P in various countries and localities range from (0.6-5.9) patient per 1000 live birth, varying according to the amount and type of prenatal care, the socioeconomic condition of the parents, the environment, and the type of obstetrical and pediatric care the mother and child receive[1] the rate of C.P in children weighing less than 1500 gram at birth is 70 times higher compared with an overall prevalence of about 3 per 1000 live birth with normal birth weight (2500 gram or more)[2] the lesions in the brain that would cause the abnormality in movement and posture occur primarily in 4 areas, cerebral cortex (Spasticity), midbrain (Athetosis), cerebellum (Ataxia), Wide spread brain involvement (Mixed).

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