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Effectiveness of Selective Peripheral Denervation for the Treatment of Spasmodic Torticollis

 Ryoong Huh  ;  Jung Yong Ahn  ;  Sang Sup Chung  ;  Jin Woo Chang  ;  Jong Hee Chang  ;  Young Sun Chung 
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.38(5) : 344-349, 2005 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
Issue Date
Spasmodic torticollis ; Selective peripheral denervation ; Effectiveness
Spasmodic torticollis ; Selective peripheral denervation ; Effectiveness
Objective:The Bertrand's method of selective peripheral denervation for spasmodic torticollis has already been established as being an effective and safe method. However, such effectiveness has not yet been established in Korea. The authors have performed several cases of selective denervation for the treatment of spasmodic torticollis and we hereby describe the details of the operative method to determine the effectiveness of the method.

Methods:Ten patients who had the selective denervation for the spasmodic torticollis from October 1997 to December 2003, were analyzed. There were 4 rotational and 6 combined types (3 rotational plus retrocollis, 3 rotational plus laterocollis). We performed preoperative electromyograms and neck muscle tonograms in all cases. The technique was used to involve denervation of the ipsilateral posterior paraspinal muscles. Denervation of the sternocleidomastoid muscle was performed on the contralateral side for rotational torticollis and on the ipsilateral side for laterocollis combined type. The surgery was followed by a rigorous physical therapy program.

Results:The surgical results were divided into 4 groups labeled excellent, good, fair, and poor. There were 5 excellent patients who showed no detectable abnormal movements, 4 good patients who showed slight residual deviations or slight residual abnormal movements, and 1 fair patient with appreciable residual abnormal movements. Postoperative pain was well tolerated. There was no significant surgical complications.
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1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
Chang, Jin Woo(장진우) ORCID logo https://orcid.org/0000-0002-2717-0101
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