To improve ambulation in a child who has cerebral palsy, which of the following surgical interventions is indicated?
a. closure of the defect
b. lengthening of the Achilles tendon and releasing the hamstrings
c. placement of a VP shunt to relieve cerebral pressure
d. placing affected limbs in flexible casts
B
Cerebral palsy results from damage to the motor centers of the brain. The infant may have delayed gross motor development, alterations in muscle tone, abnormal motor performance, and reflex abnormality. Improvements in ambulation can be made with the surgical lengthening of the Achilles tendon and releasing the hamstrings.
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