Surgical Treatment of Ambulatory CP: Although surgery was selected to improve the child’s gait, other treatments could have been utilized on a primary or adjunctive basis.  Interventions aimed at decreasing his spasticity (e.g., botulinum toxin injections coupled with serial casting, intrathecal baclofen or rhizotomy) could all have been used to decrease this child’s spasticity and the complications thereof. Although the child was young, orthopedic surgery was chosen because of significantly increased femoral anteversion and multiple fixed contractures demonstrated in his physical exam and gait study.