Prognostic Factors in Recurrent Congenital Muscular Torticollis
https://doi.org/10.5704/MOJ.2103.007
- Author:
Chotigavanichaya C
1
;
Phongprapapan P
1
;
Wongcharoenwatana J
1
;
Eamsobhana P
1
;
Ariyawatkul T
1
;
Kaewpornsawan K
1
Author Information
1. Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand
- Publication Type:Journal Article
- Keywords:
congenital muscular torticollis, unipolar release, bipolar release, recurrence deformity
- From:Malaysian Orthopaedic Journal
2021;15(No.1):43-47
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Congenital muscular torticollis (CMT),
primarily resulting from unilateral shortening and fibrosis of
the sternocleidomastoid muscle. One of the common surgical
complications is recurrent deformity. However, the
associations between unipolar or bipolar release, age of the
patient, and the recurrence of the disease are unclear.
Therefore, the purpose of this study was to evaluate the
factors associated with recurrence after surgery.
Materials and Methods: A retrospective review was
performed in 47 patients who were diagnosed with CMT and
had been treated surgically with unipolar or bipolar release
between January 2007 and December 2015. Demographic
data (sex, sides, surgical technique, age at time of surgery,
period of follow-up, complications and recurrence) were
recorded.
Results: Forty-seven patients with an average age of 8.7
years old at time of surgery. Twenty-six patients had rightsided muscular torticollis, while 21 had left-sided. The
average follow-up time was 2 years (range, 2–4 years). The
average age of unipolar release was 8.8 years old (range, 2-
18 years old), while the average age of bipolar release was
8.7 years old (range, 2–13 years old). Recurrence occurred in
11 patients (9 in unipolar and 2 in bipolar release). Sex, side
of deformity, type of surgery and age at time of surgery
showed no statistically significant as a factor for recurrence
rate, however recurrence of unipolar more than bipolar
surgery was nearly two times revealing clinical significance.
Conclusions: Sex, side of deformity, type of surgery and age
at time of surgery were not associated with the recurrence
deformity.
- Full text:16.2021my1147.pdf
