Aftertreatment of open tenotomy in myogenic torticollis.

概要

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Between 1956 and 1986, ninty-five patients in myogenic torticollis were treated by open tenotomy. The ages of 15 cases of them were over ten years old. Five cases underwent tenotomy at both distal and proximal ends of sternocleidomastoideus muscle and ten cases at distal end only. We used three types of post-operative immobilization: cast in eleven cases, halo brace in three cases and collar brace in one. We concluded that the halo brace was indicated for the myogenic torticollis which was complicated in cervical scoliosis in high-teen-agers. Especially the halo brace was of great advantage to traction for the scoliosis rather than cast immobilization. Complications of the halo brace was concerned with pinning, but this trouble was solved by technique of pinning. For low-teen-agers we made a new type of collar brace for the purpose of early mobilization.
西日本整形・災害外科学会の論文