Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?

Jun-Il Park,Shin-Seung Yang,Joo-Hyun Kee,Ja Young Choi

doi:10.3390/children8090735

Jun-Il Park, Shin-Seung Yang + Show 2 more

Open Access

https://doi.org/10.3390/children8090735

Copy DOI

Journal: Children	Publication Date: Aug 26, 2021
Citations: 3	License type: CC BY 4.0

Affiliation: Chungnam National University

Abstract

It has been reported that congenital muscular torticollis (CMT) may result in secondary scoliosis over long-term follow-ups. However, there are few reports on whether CMT causes pelvic malalignment syndrome (PMS). This study aimed to investigate the relationship between CMT and PMS and to determine the factors associated with the development of PMS in children with longstanding CMT. Medical records of 130 children with CMT who had long-term follow-up were reviewed retrospectively. The chi-squared test and logistic regression analysis were used to determine which initial clinical parameters contributed to the development of PMS. Among 130 children with CMT, 51 (39.2%) developed PMS with or without compensatory scoliosis during long-term follow-up, indicating a high prevalence of PMS in children with a CMT history. Initial clinical symptoms such as a limited range of motion of the neck or the presence of a neck mass could not predict the development of PMS. Even if the clinical symptoms are mild, long-term follow-up of children with CMT is essential to screen for PMS.

Highlights

Congenital muscular torticollis (CMT) is a clinical symptom that commonly occurs in neonates and infants [1]
Contracture of the SCM muscle causes the face to rotate to the opposite side and the head to tilt to the same side, resulting in signs and symptoms such as a limited range of motion (LOM) in the neck [9]
Children with a history of CMT showed a high prevalence of Pelvic malalignment syndrome (PMS)

Summary

Introduction

Congenital muscular torticollis (CMT) is a clinical symptom that commonly occurs in neonates and infants [1]. It is known as wry neck and twisted neck, and in the case of mass-type CMT, it is called fibromatosis colli [2–5]. Contracture of the SCM muscle causes the face to rotate to the opposite side and the head to tilt to the same side, resulting in signs and symptoms such as a limited range of motion (LOM) in the neck [9]. Long-term twisting of the neck may result in compensatory changes in the adjacent skeletal structures, resulting in bilateral facial asymmetry and secondary scoliosis [9–12]. Recent studies have shown that the severity of spinal deformities in infants with CMT increases with age and with the severity of SCM tightening [13,14]

Objectives

Methods

Results

Discussion

Conclusion