ADVANCING ANESTHESIA PRACTICES FOR CEREBRAL PALSY: A COMPARATIVE EVALUATION OF SPINAL AND GENERAL ANESTHESIA IN ORTHOPEDIC INTERVENTIONS

Objective: To minimize perioperative risks and optimize recovery in cerebral palsy (CP) patients undergoing orthopedic interventions by evaluating the comparative efficacy of spinal anesthesia (SA) and general anesthesia (GA). CP, characterized by non progressive neurological impairments, presents unique anesthetic challenges due to its multisystem involvement. This study addresses gaps in anesthesia management strategies, particularly focusing on varus derotation osteotomy (VDRO), a common orthopedic procedure in CP patients. Methodology: A randomized controlled trial involving 50 children with CP (ages 5-14 years) undergoing VDRO was conducted at Princess Esra Hospital. Participants were stratified into GA and SA groups based on predefined criteria. Key parameters such as intraoperative hemodynamics, postoperative pain scores, complications, and satisfaction levels were meticulously analyzed. Statistical power calculations validated the sample size, ensuring robust comparisons.