SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
Interdisciplinary management of children with cerebral palsy: neurological perspective on neurosurgical interfaces
Abstract
Aims: The aim of this study was to evaluate clinical characteristics, interdisciplinary management strategies, and outcomes in children with cerebral palsy from a pediatric neurology perspective, with particular focus on neurological–surgical interfaces.
Methods: This retrospective clinical study included 150 pediatric patients diagnosed with cerebral palsy and managed within a multidisciplinary care framework. Neurological phenotype, functional status according to the Gross Motor Function Classification System, associated conditions, and management approaches were analyzed. Patients were followed longitudinally as part of routine clinical care. Descriptive statistical methods were used to summarize clinical and functional data.
Results: The study population demonstrated significant heterogeneity in motor phenotype and functional severity. Spastic cerebral palsy represented the predominant subtype. Higher functional impairment was associated with increased frequency of musculoskeletal complications and pain. Interdisciplinary management integrating neurological assessment, conservative treatment, and selective surgical intervention contributed to improved functional stability and symptom control. Neurological stratification was critical for appropriate surgical timing and patient selection.
Conclusion: Cerebral palsy requires long-term, interdisciplinary management that integrates pediatric neurology and surgical decision-making. Neurologically guided treatment pathways support individualized intervention planning, reduce unnecessary surgical procedures, and promote sustainable functional outcomes and quality of life in children with cerebral palsy.

Keywords : Motor disorders, pediatric disability, functional outcomes, interdisciplinary treatment, musculoskeletal complications

Download Article
Ethical Statement

This study was approved by the Ethics Committee of Tashkent State Medical University (Date: 10.09.2025, Decision No: 16).

Informed Consent

This retrospective study used pre-existing anonymized patient data. No additional intervention was performed, and there was no direct patient contact. The study was approved by the Ethics Committee, and the requirement for written informed consent was waived by the ethics committee.

Author Contributions

Concept: NM, YNM; Design: NM, YNM; Control: NM, YNM; Resources: NM, YNM; Materials: NM, YNM; Data Collection and/or Processing: NM, YNM; Analysis and/or Interpretation: NM, YNM; Literature Review: NM, YNM; Writing the Article: NM, YNM; Critical Review: NM, YNM.

Conflict of Interest

The authors declare no conflicts of interest related to this study.

Financial Disclosure

The authors received no financial support for the conduct or publication of this research.


1. Novak I, Morgan C, Fahey M, et al. State of the evidence traffic lights 2019: systematic review of interventions for preventing and treating children with cerebral palsy. Curr Neurol Neurosci Rep. 2020;20(2):3. doi:10.1007/s11910-020-1022-z
2. Graham HK, Rosenbaum P, Paneth N, et al. Cerebral palsy. Nat Rev Dis Primers. 2016;2:15082. doi:10.1038/nrdp.2015.82
3. Fehlings D, Novak I, Berweck S, Hoare B, Stott NS, Russo RN. Botulinum toxin assessment, intervention and follow-up for paediatric upper limb hypertonicity: international consensus statement. Eur J Neurol. 2010;17(Suppl 2):38-56. doi:10.1111/j.1468-1331.2010.03127.x
4. Himmelmann K, Uvebrant P. The panorama of cerebral palsy in Sweden. XI. Changing patterns in the birth-year period 2003-2006. Acta Paediatr. 2014;103(6):618-624. doi:10.1111/apa.12614
5. McIntyre S, Goldsmith S, Webb A, et al. Global prevalence of cerebral palsy: a systematic analysis. Dev Med Child Neurol. 2022;64(12):1494-1506. doi:10.1111/dmcn.15346
6. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
7. Shore BJ, White N, Kerr Graham H. Surgical correction of equinus deformity in children with cerebral palsy: a systematic review. J Child Orthop. 2010;4(4):277-290. doi:10.1007/s11832-010-0268-4
8. Tedroff K, Löwing K, Åström E. A prospective cohort study investigating gross motor function, pain, and health-related quality of life 17 years after selective dorsal rhizotomy in cerebral palsy. Dev Med Child Neurol. 2015;57(5):484-490. doi:10.1111/dmcn.12665
9. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008;50(10):744-750. doi:10.1111/j.1469-8749.2008.03089.x
10. Heinen F, Desloovere K, Schroeder AS, et al. The updated European Consensus 2009 on the use of botulinum toxin for children with cerebral palsy. Eur J Paediatr Neurol. 2010;14(1):45-66. doi:10.1016/j.ejpn.2009.09.005
11. Boyd RN, Hays RM. Current evidence for the use of botulinum toxin type A in the management of children with cerebral palsy: a systematic review. Eur J Neurol. 2001;8(Suppl 5):1-20. doi:10.1046/j.1468-1331.2001.00034.x
12. Shore BJ, Yu X, Desai S, Selber P, Wolfe R, Graham HK. Adductor surgery to prevent hip displacement in children with cerebral palsy: the predictive role of the Gross Motor Function Classification System. J Bone Joint Surg Am. 2012;94(4):326-334. doi:10.2106/JBJS.J.02003
13. Hägglund G, Alriksson-Schmidt A, Lauge-Pedersen H, Rodby-Bousquet E, Wagner P, Westbom L. Prevention of dislocation of the hip in children with cerebral palsy: 20-year results of a population-based prevention programme. Bone Joint J. 2014;96-B(11):1546-1552. doi:10.1302/0301-620X.96B11.34385
14. Novak I, McIntyre S, Morgan C, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55(10):885-910. doi:10.1111/dmcn.12246
15. Damiano DL. Rehabilitative therapies in cerebral palsy: the good, the not as good, and the possible. J Child Neurol. 2009;24(9):1200-1204. doi:10.1177/0883073809337919
16. McLaughlin J, Bjornson K, Temkin N, et al. Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials. Dev Med Child Neurol. 2002;44(1):17-25. doi:10.1017/s0012162201001608
17. Novak I, Honan I. Effectiveness of paediatric occupational therapy for children with disabilities: a systematic review. Aust Occup Ther J. 2019; 66(3):258-273. doi:10.1111/1440-1630.12573
18. Voorman JM, Dallmeijer AJ, Schuengel C, Knol DL, Lankhorst GJ, Becher JG. Activities and participation of 9- to 13-year-old children with cerebral palsy. Clin Rehabil. 2006;20(11):937-948. doi:10.1177/0269215506069673
19. Fehlings D, Switzer L, Agarwal P, et al. Informing evidence-based clinical practice guidelines for children with cerebral palsy at risk of osteoporosis: a systematic review. Dev Med Child Neurol. 2012;54(2): 106-116. doi:10.1111/j.1469-8749.2011.04091.x
20. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-223. doi:10.1111/j.1469-8749.1997.tb07414.x
Article available in :
Volume 3, Issue 4, 2026
Page : 121-125
https://doi.org/10.51271/SOC-0084
Article Information
Received : 03 Mar 2026
Accepted : 01 Haz 2026
Published : 20 Eki 2026
Corresponding Author :

Nozila Majidova: Department of Neurology and Medical Genetics, Tashkent State Medical University, Tashkent, Uzbekistan

[email protected]
Citation : Majidova N, Madjidova YN. Interdisciplinary management of children with cerebral palsy: neurological perspective on neurosurgical interfaces. Surg Child. 2026;3(4):121-125. doi:10.51271/SOC-0084

Read: 6
Download : 5
Cited: 0
_Footer