TRATAMENTO DA SUBLUXAÇÃO E LUXAÇÃO DO QUADRIL NA PARALISIA CEREBRAL EM PACIENTES TETRAPARÉTICOS ESPÁSTICOS, NÍVEL MOTOR V, ATRAVÉS DA TENOTOMIA DE ADUTORES E PSOAS TREATMENT OF HIP DISPLACEMENT IN CHILDREN WITH QUADRIPLEGIC CEREBRAL PALSY, GROSS MOTOR V, BY PSOAS AND ADDUCTOR RELEASE

Objective: To assess if adductor and psoas release is effec- tive in prevent hip displacement in quadriplegic Cerebral Palsy pacients, Gross motor V. Methods: A retrospective study with 26 patients who had psoas and adductor release was analyzed. Reimers Index before and after surgery was analysed. We divided the patients into two groups: surgery made in patients above five yars and after five years of age. Results: With a follow up of seven years, most of the patients of both groups had Reimers Index controlled by the surgery proposed. Conclusion: Adductor and psoas release was effective in controlled hip displacement in quadriplegic Cerebral Palsy patients, Gross Motor V. The age at the time of the surgery does not influence in the result.Reimers Index up to 70% and asymmetric hip not had good results.