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surgery is often used to improve the gait of ambulatory patients with cerebral palsy. The objectives may change, given the motor severity-however, an improvement in the patient's mobility can be achieved through surgical procedures of the lower extremity. The Gross Motor Function Measure (GMFM) is a measure of gross motor function, used to evaluate therapeutic choices, rehabilitation progress and, in our institution, to evaluate orthopedic surgeries. Objective: The main goal of this study was to evaluate orthopedic surgeries performed on children with cerebral palsy through the comparison of the GMFM score pre and post procedure. Method: We included patients in this study that were greatly limited in functional mobility, but who had the potential to improve (Levels III and IV of the Gross Motor Function Classification System), and who had undergone surgical procedures between January 2010 and December 2012, achieving a total of 36 subjects. Results: There was no statistically significant change between the measures, except for the C domain (crawling and kneeling), which presented a lower post-surgical procedure score. Age, time of follow up, the nature of the surgery, and, most of all the instrument used, which in our case was the GMFM, were all indicated as possible difficulties in objectively measuring the results of lower extremity surgery in children with cerebral palsy. Conclusion: A larger sample of subjects evaluated with a more suitable instrument is still necessary to reveal the real effects of orthopedic surgery on lower extremities of patients with cerebral palsy.

Evaluating gross motor function of cerebral palsy patients using the GMFM pre and post lower extremity orthopedic surgery