Single Event Multilevel Surgery
Meaning:
Single Event Multilevel Surgery (SEMLS) is an advanced orthopaedic procedure designed to address multiple musculoskeletal deformities in a single surgical session. It is primarily used for children with cerebral palsy or other neuromuscular disorders to improve mobility, posture, and overall function.
Conditions Treated with SEMLS:
SEMLS is performed to correct:
- Muscle contractures and spasticity
- Joint deformities affecting movement
- Abnormal gait patterns (e.g., crouch gait, scissor gait)
- Hip displacement and misalignment
- Limb length discrepancies
Causes Leading to SEMLS:
SEMLS is usually recommended for children with:
- Cerebral Palsy – The most common condition leading to muscle tightness and joint deformities.
- Neuromuscular Disorders – Conditions affecting muscle control and movement.
- Congenital Deformities – Birth-related structural abnormalities requiring surgical correction.
Symptoms Indicating SEMLS May Be Needed:
- Difficulty walking or maintaining balance
- Stiffness and restricted joint movement
- Abnormal walking patterns (toe-walking, in-toeing, out-toeing)
- Pain or discomfort in joints and muscles
- Progressive difficulty in mobility as the child grows
Treatment Approach:
SEMLS involves:
- Soft Tissue Procedures – Lengthening of tight muscles and tendons.
- Bony Surgeries – Realignment of bones and joints for improved function.
- Multi-Joint Corrections – Addressing multiple deformities in a single surgery for optimal results.
- Rehabilitation & Physiotherapy – Post-surgical rehabilitation to enhance mobility and recovery.
Prevention and Long-Term Care:
While some neuromuscular conditions cannot be entirely prevented, early diagnosis and intervention can help manage symptoms effectively. Long-term care includes:
- Regular Physiotherapy – To maintain muscle flexibility and strength.
- Orthotic Support – Use of braces or assistive devices to improve movement.
- Periodic Medical Evaluations – Monitoring growth and mobility to address issues proactively.