Cerebral Palsy


As in other neurological problems of the hand or upper extremity of the child, there is often a nihilistic view of the benefits of treatment. With an adequate patient assessment, surgical and nonsurgical treatment can improve not only the function but the self-esteem, by enhancing the spatial position of the limb.

Some relevant points of this condition are:

  • Cerebral palsy is becoming more common in developed countries due to increased survival of premature infants.
  • It is defined by the presence of motion problems due to an injury in the immature brain. Sensitivity and cognitive abnormalities may be associated.
  • The upper extremity requires a multidisciplinary management led by an orthopedic surgeon and an occupational therapist.
  • Non-surgical treatments (occupational therapy, physiotherapy and botulinum toxin injection) are essential.
  • Due to the heterogeneity of patient involvement, a repeated assessment of the patient is important. The upper extremity surgery in spastic hemiparesis, if indicated, is intended as a definitive treatment to increase function. Surgical treatment is indicated from 6-8 years old of age. The upper extremity surgery in spastic tetraparesis is usually designed to facilitate patient care.

Dr. Francisco Soldado is a specialist in children's upper extremity problems and in the reconstruction with microsurgical techniques of the extremities of children.

In his efforts to perfect treatment strategies and techniques, he has collaborated with multiple reference centers around the world.



Vall d'Hebron Hospital Campus
Passeig de la Vall d'Hebron, 119-129
08035 Barcelona

Hospital de Nens
Carrer Consell de Cent, 437
08009 Barcelona

Unidad de Cirugía Artroscópica
C/ Beato Tomás de Zumárraga 10 Hospital Vithas San José, 4ª Planta
01008 Vitoria-Gasteiz

Centro Médico Teknon
Carrer de Vilana, 12
08022 Barcelona