Summary
Twenty three patients underwent surgery for spasmodic torticollis. In 11 of the patients myotomy of the sternocleidomastoid muscle was done, and in the remaining 12 patients cervical rhizotomy according to Foerster and Dandy was performed. After a mean follow-up time of 4 years the long term effects of surgery were assessed. Only 2 of the patients (9%) had a good overall outcome in contrast to the poor or very poor results in 13 of the patients (56%). Both of these methods therefore seem to be only rarely indicated for surgical treatment of spasmodic torticollis.
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Bertrand CM (1988) Surgical treatment of spasmodic torticollis and adult-onset dystonia with emphasis on selective denervation. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques, 2nd edition, Vol 2. WB Saunders Company, Philadelphia, pp 1261–1269
Colbassani HJ, Wood JH (1986) Management of spasmodic torticollis. Surg Neurol 25: 153–158
Freckman N, Hagenah R, Hermenn H-D, Muller D (1986) Bilateral microsurgical lysis of the spinal accessory nerve roots for treatment of spasmodic torticollis. Follow-up of 33 cases. Acta Neurochir (Wien) 83: 47–53
Hamby W (1969) Spasmodic torticollis. Results after cervical rhizotomy in 50 cases. J Neurosurg 31: 323–326
Hernesniemi J, Laitinen L (1977) Resultats tardifs de la chirurgie dans le torticollis spasmodique. Neurochirurgie 23: 123–131
Lowenstein DH, Aminoff MJ (1988) The clinical course of spasmodic torticollis. Neurology 28: 530–532
Meares R (1971) Natural history of spasmodic torticollis and effects of surgery. Lancet 2: 149–150
Tasker RR (1976) The treatment of spasmodic torticollis by peripheral denervation. The McKenzie operation. In: Morley TP (ed) Current controversies in neurosurgery. WB Saunders Company, Philadelphia, pp 448–454
Xinkang C (1981) Selective resection and denervation of cervical muscles in the treatment of spasmodic torticollis: results in 60 cases. Neurosurgery 8: 680–688
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Hernesniemi, J., Keränen, T. Long-term outcome after surgery for spasmodic torticollis. Acta neurochir 103, 128–130 (1990). https://doi.org/10.1007/BF01407519
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DOI: https://doi.org/10.1007/BF01407519