SURGERY AND REHABILITATION OF THE SPASTIC LOWER LIMB IN PEDIATRIC PATIENTS

Patronage

Main topics

The pathology that is most frequently associated with spasticity is cerebral palsy (CP) whose incidence has long been around 2 per thousand. But not only children with PCI have spasticity, in fact, this also occurs following head and spinal injuries and other neuro-muscular pathologies. The management of pediatric patients suffering from spasticity must be multidisciplinary and follow the growth and evolution of the disease over the years, avoiding the establishment of serious joint and bone deformities which often represent the natural evolution if the management does not take place on time and correct ways. These patients and their families therefore represent a challenge and setting the correct indications and using the most appropriate surgical techniques is of fundamental importance.

Inspired by the symposium on the surgical treatment of upper limb spasticity, organized a few years ago by Dr. Caroline Leclercq, one of the leading experts in this domain, we wish to organize a congress dedicated to the lower limb affected by spasticity, involving all the colleagues fundamental for a global taking in charge.

Scientific Committee

Prof. Alessandro Aprato
Head of Orthopedic Pediatric Department
Regina Margherita Hospital (Torino, Italy)

Dr. Nathalie Bini
Orthopedic Pediatric Department Regina
Margherita Hospital (Torino, Italy)

Congress venue

NH Collection Torino Santo Stefano
Via Porta Palatina, 19
10122 Torino, Italy

Friday 28 April 2023

8.00 Registration of participants
8.30 Welcome: A. Massé, A. Aprato, G. Massazza, R.M. Toniolo

8.45 – 9.15 Introduction: Taking care of children and their families.
Chairs: A. Aprato, N. Bini
The point of view of the Paediatric Neuropsychiatrist. The diagnosis and the neurological management C. Marinaccio
The point of view of the Physiatrist. The rehabilitation management P. Imazio
The point of view of the neuro-orthopedist C. Leclercq
Debate

9.15 – 10.30 Gait Analysis
Chairs: E. Castelli, A. Krebs
Essential biomechanics, Normal gait biomechanics -Kinematics and Kinetics M. Sangeux
Communicating gait data and diagnostic of gait deviation R. Brunner
Clinical cases

10.30 – 11.00 Coffee Break & hands on the ultrasound

11.00 – 12.45 Botulinum Toxin / Echography
Chairs: S. Carda, R.J. Csepan
Anatomical Principles C. Boulay
Rehabilitation tools after injections A. Baricich
Use of BT as a diagnostic tool N. Sturbois Nachef
Non responders C. Boulay

12.45 – 13.05 Role of Neurosurgery (Baclofen pump / SDR)
P. Peretta, G. Pilloni
Chairs: A. Baricich, R.M. Toniolo

13.05 – 13.20 Hyperselective neurectomy
Chairs: N. Bini, L. Conforti
Principles N. Sturbois Nachef
Experience in Children C. Leclercq

13.20 – 14.30 Lunch & hands on the ultrasound

14.30 – 16.30 Hip
Chairs: A. Aprato, C. Boulay
Intro
Follow up of the hip in the CP children M. Jozwiak
Hip pain: identifying the cause to relieve the symptom M. Jozwiak
Reduce and/or remove the load, what effect on the risk of dislocation? R. Brunner
Surgical Timing and Techniques:
Tendon releases G. Marré Brunenghi
Percutaneous fibrotomic release P. F. Costici
Pinning N. Portinaro
Osteotomies A. Krebs
Rescue procedures: resection arthroplasty, others R. J. Csepan
Debate
Rehabilitation before and after surgery R. Brunner

16.30 – 17.00 Coffee Break

17.00 – 18.45 Knee
Chairs: G. Trisolino, R. Brunner
Intro
The 2 most common attitude: Excessive knee flexion during stance phase and limited knee flexion during swing phase A. Presedo
Development of crouch gait after treatment of the foot A. Krebs
Stiff knee gait R. Brunner, A. Presedo
Surgical Timing and Techniques: Tendon releases and transfers A.Presedo
Osteotomies A. Krebs
Neurectomies N. Sturbois Nachef
Rehabilitation before and after surgery S. Carda

Saturday 29 April 2023

08.30 – 10.30 Foot
Chairs: A. Andreacchio, A. Presedo
Intro
All types of equinus E. Morakis
Other deformities E. Morakis
The role of Peroneus Longus E. Boulay
Surgical Timing and Techniques: Tendon releases and transfers E. Morakis
Osteotomies E. Morakis
Neurectomies N. Sturbois Nachef
Complications: Recurrence,Overcorrection R. Csepan
Debate
Rehabilitation before and after surgery A. Cersosimo, E. Castelli

10.30 – 11.10 Multilevel surgeries
Chairs: R. Brunner, P. Monorchio
From clinical examination to GAIT analysis, to non-operative
and operative taking charge A. Presedo
The Spine
To operate or not, surgical techniques P. Cinnella, M. Cravino
Rehabilitation before and after surgery A. Cersosimo, E. Castelli
Debate

11.10 – 11.40 Coffee Break

11.40 – 13.00 Transition from Childhood
Chairs: L. Conforti, A. Krebs
Intro
Loss of walking ability S. Carda
Pain: where does it come from? Osteoarticular? Spasticity? Other.. A. Baricich
Complications of late referral L. Conforti
The adolescent affected by CP M. Jozwiak

Debate

Satisfaction survey & CME Test (For Italian Participant)

Hands on the ultrasound: try to identify muscles with the help of Dr Petraz – radiologist from Regina Margherita Hospital

PATROCINI

Faculty

Andreacchio Antonio, Milano (IT)
Aprato Alessandro, Torino (IT)
Baricich Alessio,Novara (IT)
Bini Nathalie, Torino (IT)
Boulay Christophe,Marseille (F)
Brunner Reinald,Basel (CH)
Carda Stefano, Lausanne (CH)
Castelli Enrico, Roma (IT)
Cersosimo Antonella, Bologna (IT)
Cinnella Pasquale, Torino (IT)
Conforti Luigi,Chieri (IT)
Costici Pier Francesco, Roma (IT)
Cravino Mattia, Torino (IT)
Csepan Robert J., Wien (A)
Imazio Paola, Torino (IT)
Jozwiak Marek, Poznan (PL)

Krebs Alexander, Wien (A)
Leclercq Caroline, Paris (F)
Marinaccio Cristina, Torino (IT)
Marré Brunenghi Giorgio,Genova (IT)
Massazza Giuseppe,Torino (IT)
Massé Alessandro, Torino (IT)
Minetto Marco Alessandro, Torino (IT)
Monorchio Paolo, Napoli (IT)
Morakis Emmanouil, Manchester (UK)
Peretta Paola, Torino (IT)
Petraz Marco, Torino (IT)
Pilloni Giulia, Torino (IT)
Portinaro Nicola, Milano (IT)
Presedo Ana, Paris (F)
Sangeux Morgan, Basel (CH)
Sturbois Nachef Nadine, Paris (F)
Toniolo Renato Maria, Roma (IT)
Trisolino Giovanni, Bologna (IT)

Accomodation

The Organizing Secretariat can reserve hotel accommodation for

2 nights

Check-in: 27 April 2023

Check-out: 29 April 2023

at the following hotel:

NH Collection Torino Santo Stefano ★★★★
Via Porta Palatino, 19
10122 Turin, Italy

Hotel booking can be made during the online registration procedure.

The total amount due for the hotel accommodation must be settled together with the registration fee.

For special requests (e.g. changing in/out dates or room type), please send a request to the Organizing Secretariat via e-mail

Hotel rates

NH Collection Torino Santo Stefano	Rate per night
Double Used as Single (DUS) Superior room	€ 170,00
Double (DBL) Superior room	€ 190,00

The above rates are intended per room per night including breakfast and VAT.

Guests are kindly asked to settle the City Tax (€ 3,70 per person per night) directly to the hotel reception upon check-out along with any personal extras.

Registration

Registration Fees (VAT 22% included)
	Until 28/02/2023	After 28/02/2023
Member SIOT, SITOP, SIMFER	€ 200,00	€ 250,00
Non Member SIOT, SITOP, SIMFER	€ 300,00	€ 400,00
Resident, Therapist, physiotherapist, Technician	€ 150,00	€ 200,00

Fees Includes: Congress Attendance, congress kit, 3 coffee breaks, 1 light lunch,
Certificate of Attendance, CME Certificate (for Italian delegates)

With the unrestricted support

symposia@symposiacongressi.com

Symposia Organizzazione Congressi Srl
Piazza Campetto 2/8 – 16123 Genova

Tel. 010 255146 r.a. – Fax 010 2770565
symposia@symposiacongressi.com

P.IVA 03849570100