Table 1

Long term follow up after selective denervation for torticollis

Patient NoAge at onsetDuration of follow up (months)Primary directions of torticollisPainResistance to botulinum toxinBaseline ADL capacity and effect of surgery on ADLsOccupational status before first operation
13684RotationYSecondaryImpaired for ADLs; no benefitAt home
25489RotationYSecondaryImpaired for ADLs; improvedAt home
35370RotationYPrimaryDisabled for ADLs; no benefitDisabled
43970RotationYSecondaryImpaired for ADLs; improved with moderate residual disabilityAt home
55420RetrocollisNPrimaryImpaired for ADLs; no benefitDisabled
62846RetrocollisYSecondaryImpaired for ADLs; no benefitDisabled
75463RotationYImpaired for ADLs; improved with mild residual disabilityDisabled
84948RotationYSecondaryImpaired for ADLs; improved with mild residual disabilityAt home
936111Rotation and laterocollisNSecondaryImpaired for ADLs; improved to normalWorking full time
105489LaterocollisYSecondaryImpaired for ADLs; no benefitWorking full time
114176RotationYSecondaryDisabled for ADLs; improved with mild residual disabilityDisabled
124414Rotation and laterocollisYSecondaryImpaired for ADLs; improved with moderate residual disabilityWorking full time
134727RotationYImpaired for ADLs; improved with moderate residual disabilityDisabled
145075RotationYSecondaryImpaired for ADLs; improved with mild residual disabilityAt home
154453LaterocollisYPrimaryImpaired for ADLs; improved with moderate residual disabilityDisabled
165017LaterocollisYSecondaryImpaired for ADLs; improved with moderate residual disabilityDisabled
Most recent occupational status Medications at follow up Long term effect on pain Need for more surgery Final overall status1
At homeSameNo benefit0
At homeSameUnknown1
Still disabledSameNo benefitRevision (1), thalamotomy0
At home

ReducedImprovement; residual pain1
Still disabledIncreased0
Still disabledSameNo benefitRevisions (2)0
Retired

ReducedImprovement; residual painRevision (1)2
At homeSame; still receives botulinum toxin injectionsImprovement; residual pain2
Working full time

ReducedRevision (1)3
DisabledSameNo benefit0
Still disabledReducedImprovement; mild residual painRevision (1)2
Disabled

Off medsComplete relief2
Still disabled

Off medsImprovement; residual pain1
At home

ReducedImprovement; residual painRevision (1)2
Still disabled

Off medsImprovement; residual pain1
Still disabled

No benefit1
  • 1-150 Overall rating of dystonia severity based on disability:

  • 0=No improvement in dystonia, or worse dystonia.

  • 1=Mild improvement in dystonia, with moderate residual disability.

  • 2=Moderate improvement in dystonia, enabling patient to function with only minor limitation or discomfort.

  • 3=Complete or almost complete resolution of torticollis and return of normal function.

  • ADLs=activities of daily living.