TY - JOUR T1 - ORthopaedic management of cerebral palsy AU - Siegel IM Y1 - 1979/10/05 N1 - 10.1001/jama.1979.03300140055029 JO - JAMA SP - 1547 EP - 1547 VL - 242 IS - 14 N2 - "Orthopaedic surgery appears to have established a permanent and important place in the management of cerebral palsy." So writes Eugene E. Bleck, who, drawing from his understanding and experience, has written what may well prove the definitive review of this subject.The book's format follows the clinical classification of cerebral palsy, with chapters devoted to its three main forms—hemiplegia, diplegia, and total body involvement. A thorough outline of "Orthopaedic Assessment" (including methods for documenting findings such as photographic recordings and pedographs), a provocative presentation of "Neurobiology, Prognosis and Structural Changes," and a sensible outline of "Goals and Methods of Treatment," which stresses "management tempered by social consideration" ("The goal of treatment is a healthy functionally independent person, not a permanent patient"), round out the text.The anatomy, physiology, and biomechanics of all major spastic deformities are discussed. Clinical examination, indications for surgery, alternative techniques (eg, myoneural block and biofeedback), operative SN - 0098-7484 M3 - doi: 10.1001/jama.1979.03300140055029 UR - http://dx.doi.org/10.1001/jama.1979.03300140055029 ER -