This paper is the outgrowth of more than a year's study of 1,000 cases of cerebral birth hemorrhage treated at the Orthopaedic Hospital during the past twelve years. It represents a statistical summary of the cases seen and is a crystallization of certain ideas regarding the care and treatment of the spastic patient. The subject of cerebral birth hemorrhage and its sequelae calls for a comprehensive knowledge in such varied fields of medicine and surgery that no one person can be intimately versed in all its ramifications. I think that this is one of the main reasons why the spastic child has been so shunted about and ignored by the medical profession. Probably the chief pathologic condition found in the first month of life is injury to the brain from hemorrhage. Various reports indicate that one third of the deaths occurring during labor are due to cerebral hemorrhage. In fact,