Método Ulzibat del Doctor Igor Nazarov. Tratamiento de la parálisis cerebral.

The operation that I practice is not very invasive, it does not involve opening up the areas of the body where the operation is takes place, and it is performed by subcutaneous sections on the fasciae, the aponeuroses, on the muscles and on the tendons. They are determined zones of the body where nerves, large blood vessels or other important structures cannot be injured, as long as the physician has a thorough knowledge of the area where he is going to operate by continuously practicing this surgical technique. Wherefore, it does not represent a risk to the current health of the patient. Operations are performed using general anaesthesia, which furthermore provides considerable help when differentiating the pathological fibres from healthy fibres in soft tissue, given that as a result of general anaesthesia, muscular activity disappears. However, the injured structures cannot relax, and they remain rigid.

With this scarcely invasive operation, it is possible to successfully eliminate up to 16 retracted fibres in a single phase. If there are many more contractures, it is possible to operate in 2 or 3 phases, with a minimum interval of 6 months between each phase. In any event, the frequency of the operations is subject to the particulars of each individual patient, the progress of the disease and the physician’s criteria.

For example, in the first phase, an operation is performed on the legs. In the second phase, the arms are operated on, and in the third phase, an operation is performed on the back, the neck and the face. Or, the phases can be divided according to the most serious contractures and the degree of alteration of the pathological fibre, as well as the type of cerebral palsy.

This surgical technique is compatible with other types of treatments or operations, given that it does not change the functional structure of the muscular apparatus, of the locomotor apparatus in general, or of other organs or systems of the human body.

Cerebral palsy is known to be manifest in different forms:

- spasticity
- hyperkinesia
- atony and ataxia.

But other, combined forms of cerebral palsy are also diagnosed, such as spasticity with hyperkinesia.

Patients with the spastic form have more contractures, and they are more rigid. Moreover, the symptom of pain that may be present in the areas of the retracted fibres exacerbates the spasticity, which in turn favours the degenerative process of dystrophy and the formation of new contractures. And thus a “vicious cycle of  pain-contracture-pain” is established.

Moreover, it should be underscored that patients with hemiplegia, diplegia and tetraplegia have 4 degrees of dysfunction in the structures of the locomotor apparatus: