Abstract
ABSTRACT Objective: This study aims to evaluate the outcome of surgical treatment of congenital torticollis in our hospital. Methods: We collected the medical records of all patients diagnosed with congenital torticollis in the last 3 years at Shriners Hospital, Mexico City. The cases of congenital torticollis treated with surgery were selected and we evaluated the type of surgical technique, bleeding, time of surgery and complications, as well as the associated diagnoses of hip dysplasia. Results: We found 11 patients, of whom 7 met the inclusion criteria. Three women and four men with mean age of 10.7 years, five of whom had right, and two left side affections. All were surgically treated, five with unipolar and two with bipolar release. The surgery time was similar in both techniques and no complications were found in any of the groups. In two cases there were associated diagnoses, Klippel-Feil syndrome and congenital talipes equinovarus (CTEV) in one and psychomotor retardation in another. No association was found with hip dysplasia. All patients had improved range of movement and head tilt. There were no complications related to the surgical procedure or need for reintervention in our patients. Conclusions: Surgical treatment of congenital torticollis by uni- or bipolar release is an effective and safe method for these patients, presenting aesthetic and functional benefits.
Highlights
Congenital torticollis occurs in 1-2% of the population, clinically presented as a lateral inclination of the head accompanied by the rotation of the chin to the opposite side
Fibrosis of the sternocleidomastoid muscle is the main cause of the presentation of congenital torticollis.[1]
In most cases of congenital muscular torticollis, the diagnosis is established starting at two months of age
Summary
Congenital torticollis occurs in 1-2% of the population, clinically presented as a lateral inclination of the head accompanied by the rotation of the chin to the opposite side. There are several causes, such as bone abnormalities of the spine like the Klippel-Feil syndrome, congenital scoliosis, occipitocervical fusion, odontoid process malformations, ocular changes, gastroesophageal reflux like the Sandifer syndrome, and benign paroxysmal torticollis. Fibrosis of the sternocleidomastoid muscle is the main cause of the presentation of congenital torticollis.[1]. In most cases of congenital muscular torticollis, the diagnosis is established starting at two months of age. The right side is more frequently affected, by a factor of three to one, and it is more prevalent in males than in females. Several pathologies have been associated with it, such as dysplasia in hip development, facial and cranial asymmetries, and metatarsus varus.[1,2,3]
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