title: Surgical management of congenital torticollis in children older than 7 years with an average 10-year follow-up.
abstract: The aim of the present study is to present the results of the surgical management of late presenting cases of congenital muscular torticollis. Between 1990 and 2010, 31 cases of late presenting congenital muscular torticollis were managed surgically in our department. Postoperatively, head halter traction was applied for 10 days; a cervical brace was applied for 5 weeks, followed by a soft one collar for 3 months. The final result was assessed on the basis of the criteria of Cheng and Tang. In total, 84% of patients achieved an excellent final result and 16% of the patients achieved a good result. Our results indicated that in children older than 7 years, surgical release combined with appropriate orthosis and a structured physiotherapy regime can lead to satisfactory results.
authors.affiliation: aFirst Orthopaedic Department, Athens Paediatric Hospital 'Agia Sophia' bFourth Orthopaedic Department, KAT Hospital, Kifissia, Athens cThird Academic Department of Orthopaedics and Trauma, Aristotle University Medical School, Thessaloniki, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Lepetsos
authors.forename: Panagiotis P
authors.initials: PP
authors.lastname: Anastasopoulos
authors.forename: Andreas
authors.initials: A
authors.lastname: Leonidou
authors.forename: Eustathios
authors.initials: E
authors.lastname: Kenanidis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Flieger
authors.forename: Eleftherios
authors.initials: E
authors.lastname: Tsiridis
authors.forename: George A
authors.initials: GA
authors.lastname: Macheras
authors.forename: Omiros
authors.initials: O
authors.lastname: Leonidou
mesh_terms: D000367:Age Factors; D001915:Braces; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities; D011184:Postoperative Period; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D014103:Torticollis / Q000151:congenital* / Q000534:rehabilitation / Q000601:surgery; D016896:Treatment Outcome