MINIMALLY INVASIVE SURGERY ON THE MUSCLES IN CHILDREN WITH CEREBRAL PALSY. FIVE YEAR EXPERIENCE OF APPLICATION

Abstract. . One of the modern methods in the treatment of cerebral palsy are minimal invasive surgery on the muscles, fascia, ligaments (subcutaneous myotomy, performed fasciotomy, desmotomy) that can be performed on an outpatient basis. LLC "Center of new medical technologies" from 2010 to 2014 in the hospital one day surgery 887 patients with cerebral palsy, 840 of whom were children. All operative interventions in patients with childhood spent under General anesthesia. The operations were performed with special surgical cutting tool. In analyzing the effectiveness of minimally invasive surgical interventions on soft tissues was evaluated immediate and long-term results. The immediate results were determined according to clinical examination on the day of surgery and next day after surgery. Immediate results researched all 840 children. Long-term results were evaluated according to clinical examination during the follow-up appearance, as well as on the analysis of video recordings and materials survey. Long-term results were reviewed at 359 (42,74%) pediatric patients. This group analyzed the main indicators did not differ from the group of all operated children. A positive effect was observed in 97,21% of pediatric patients in the form of increased range of motion in the operated limb.

Key words: cerebral palsy, minimally invasive surgery, subcutaneous myotomy, fasciotomy, desmotomiya.