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Surgical management of congenital torticollis in children older than 7 years with an average 10-year follow-up

Lepetsos, Panagiotisa,b; Anastasopoulos, Panagiotis P.a,b; Leonidou, Andreasa,c; Kenanidis, Eustathiosc; Flieger, Ioannisa; Tsiridis, Eleftheriosc; Macheras, George A.b; Leonidou, Omirosa

Journal of Pediatric Orthopaedics B: November 2017 - Volume 26 - Issue 6 - p 580–584
doi: 10.1097/BPB.0000000000000323
MISCELLANEOUS
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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.

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

Correspondence to Panagiotis Lepetsos, MD, PhD, First Department of Trauma and Orthopaedics, Athens Paediatric Hospital ‘Agia Sophia’, Thivon and Papadiamantopoulou, Goudi, Athens 11527, Greece Tel: +30 213 2013 207; fax: +30 213 2013 000; e-mail: plepetsos@med.uoa.gr

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