Object: To report the outcome of patients with selective denervation and resection of cervical muscles for spasmodic torticollis. Methods: We reviewed 362 cases of surgically treated spasmodic torticollis. 207 patients were followed from 2 years to 29 years. Results: Total or marked relief of symptoms with preservation of normal of nearly normal movements has been obtained in 87.9%. Conclusion: This procedure may be recommended if one to two years of conservative therapy does not offer satisfactory relief of symptoms.
The author presents a series of 60 patients with torticollis who were treated successfully by operation. He describes the clinical types of torticollis: rotational torticollis, retrocollis, antecollis, lateroflexional torticollis, and combined types. The muscular mechanism of torticollis is detailed, and the operative technique of resecting or denervating only the principal or motive muscles is explained and illustrated for each type of torticollis. The results in this series were very good: 83.3% recovered completely or were improved markedly, and there were no complications.
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