ReviewJournal of the Pediatric Orthopaedic Society of North America2026
Preoperative Evaluation of the Child With Cerebral Palsy.
Review in Journal of the Pediatric Orthopaedic Society of North America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Current concepts review: Low-vs high-tone neuromuscular spinal deformities: An evolving distinction with clinical implications.Journal of children's orthopaedics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Children with cerebral palsy (CP) undergoing orthopaedic surgery require thorough preoperative evaluation to enhance outcomes and minimize risks. This comprehensive review covers various considerations. Each part of the preoperative assessment is explained, emphasizing the importance of a tailored approach to address the specific needs and complexities of children with CP. Anesthesia considerations include the pulmonary, cardiovascular, and gastrointestinal systems to reduce perioperative complications. Neurological issues, such as seizure management and medication interactions, are detailed, along with respiratory problems like aspiration and poor airway clearance, gastrointestinal concerns, nutritional status, and bowel management. Vascular considerations focus on planning access and volume resuscitation before major orthopaedic procedures. Skin-related issues, including pressure ulcers and wound healing, require preventive strategies and careful postoperative care. Other factors addressed include urinary tract problems, deep vein thrombosis risks, blood loss management, pain control, anesthesia challenges, and psychological effects. This review highlights the importance of teamwork, patient-centered care, and thorough planning to ensure the best possible outcomes for children with CP undergoing orthopaedic surgery. Key Concepts: (1)Children with cerebral palsy (CP) who are preparing for orthopaedic surgery need a thorough preoperative assessment.(2)A thorough preoperative assessment is crucial to make sure that any surgical procedure is customized to the child's specific functional needs and that the risks and benefits are thoughtfully evaluated.(3)Multidisciplinary care and focusing on patient-centered outcomes are crucial when deciding to pursue orthopaedic surgery in this high-risk population.(4)Effective communication with the child's caregivers and health care team is vital to ensure coordinated care and a clear plan for both preoperative and postoperative management.
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Registered trials
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