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Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) ›› 2021, Vol. 11 ›› Issue (01): 23-26. doi: 10.3877/cma.j.issn.2095-123X.2021.01.006

Special Issue:

• Peripheral Neuropathy • Previous Articles     Next Articles

Standard triple operation combined with scalenus ablation for the treatment of lateral flexure spasmodic torticollis with 25 cases report

Hao Xu1, Jun Li1, Jun Wu1, Lu Wang1,()   

  1. 1. Department of Neurosurgery, Central Hospital of Wuhan Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
  • Received:2020-01-02 Online:2021-02-15 Published:2021-06-24
  • Contact: Lu Wang

Abstract:

Objective

To investigate the surgical treatment of lateral flexure spasmodic torticollis (ST).

Methods

From June 2014 to June 2019, 25 patients with lateral flexure ST were treated in the Departments of Neurosurgery, Central Hospital of Wuhan Affiliated to Tongji Medical College, Huazhong University of Science and Technology. Preoperative electromyography and CT (or MRI) examination were used to determine the main spastic muscles. Among them, 23 cases of them underwent standard triple operation combined with scalenus ablation, while 2 cases only underwent scalenus ablation surgery. Postoperative efficacy was assessed 6 months after surgery.

Results

Seventeen cases (68%) were cured, 5 cases (20%) were markedly effective, and 3 cases (12%) were improved, 0 case (0%) ineffective with no death, no disability and no serious complications.

Conclusion

Standard triple operation combined with spastic scalenus ablation was a safe and effective method for the treatment of lateral flexure ST.

Key words: Lateral flexure spasmodic torticollis, Preoperative electromyography, Nerve ablation, Muscle ablation, Scalenus

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