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The Gross Motor Function Classification System (GMFCS) is a widely used tool to establish a child\u2019s level of function and to guide treatment; however, additional metrics are necessary to formulate long-term prognoses. Goals of care are to maximize function and independence, which directly correlate with overall quality of life, and family participation is key to establishing goals early in treatment. Nonpharmaceutical treatments include physical, occupational, and speech therapy, as well as bracing, equipment, and technology. There is a breadth of medical interventions for managing hypertonia, including medications, botulinum toxin injections, intrathecal baclofen pumps, and selective dorsal rhizotomy. Orthopedic interventions are indicated for symptomatic or progressive musculoskeletal sequelae. Treatments for dysplastic hips and\/or hip instability range from soft tissue releases to bony procedures. Neuromuscular scoliosis is managed with posterior spinal fusion because bracing is ineffective against these rapidly progressive curves. The degree of care varies considerably depending on the child\u2019s baseline GMFCS level and functional capabilities, and early screening, diagnosis, and appropriate referrals are paramount to initiating early care and maximizing the child\u2019s quality of life.<\/jats:p>","DOI":"10.1542\/pir.2022-005657","type":"journal-article","created":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T03:04:04Z","timestamp":1664593444000},"page":"572-581","source":"Crossref","is-referenced-by-count":16,"title":["Cerebral Palsy: Current Concepts and Practices in Musculoskeletal Care"],"prefix":"10.1542","volume":"43","author":[{"given":"Jonathan","family":"Sheu","sequence":"first","affiliation":[{"name":"*Department of Orthopedic Surgery, McLaren Flint Regional Hospital, Flint, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorian","family":"Cohen","sequence":"additional","affiliation":[{"name":"\u2020Department of Orthopedic Surgery, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ted","family":"Sousa","sequence":"additional","affiliation":[{"name":"\u2021Department of Orthopedic Surgery, Shriners Hospital for Children, Spokane, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly L. 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