Treatment of PSR in Yuncheng

Surgery is usually considered when conservative rehabilitation isn't achieving enough on its own — for persistent spasticity that limits movement, fixed contractures (including equinus), a risk of hip dislocation, or pronounced orthopaedic deformities. Indications for minimally invasive procedures (SPML, SLOB, SDR) or an osteotomy are always determined by a panel of doctors following an in-person examination — there is no universal rule for 'when surgery is needed'; the decision is made individually for each child.

After surgery, a child may temporarily have reduced muscle tone, limited movement in the operated area, local swelling and pain, and a temporary regression of some previously learned skills. These are expected features of the early recovery period, and the post-operative rehabilitation programme is built specifically to address them.

The decision on whether surgery is needed is made by an in-person panel of the clinic's doctors on day 1–2 after the patient's arrival, based on materials submitted at the video-consultation stage (MRI, videos of motor ability, discharge summaries) and an in-person examination.

Treatment at the clinic follows four stages: 1) a video consultation, where the coordinator forwards MRI scans, videos, and discharge summaries to the Chinese medical panel; 2) an in-person panel on day 1–2 after arrival, which decides whether surgery is needed or rehabilitation alone; 3) if indicated, surgery (SPML, SLOB, SDR, or osteotomy) followed by rehabilitation; 4) follow-up monitoring — remote consultations and, if needed, a repeat rehabilitation course after 3–6 months.