Abstract
One hundred and fifty eight children with an unbalanced pelvis were reviewed. All suffered from cerebral palsy and were treated by tenotomy of the adductor muscles. The aims were: 1 - To improve the position of the femoral head. For this purpose, the best effects were obtained before the age of 4 so that acetabular dysplasia was prevented and the need for pelvic osteotomy, which is often hazardous in this type of patient, avoided. 2 - To achieve better balance of the pelvic girdle. Adductor tenotomy was often associated with tenotomy of the ilio-tibial tract or with division of the costo-iliac or ilio-lumbar muscles with posterior radiculotomies.
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