对7岁以上儿童先天性斜颈的手术治疗及平均10年的随访

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

作者信息

Lepetsos Panagiotis, Anastasopoulos Panagiotis P, Leonidou Andreas, Kenanidis Eustathios, Flieger Ioannis, Tsiridis Eleftherios, Macheras George A, Leonidou Omiros

机构信息

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.

出版信息

J Pediatr Orthop B. 2017 Nov;26(6):580-584. doi: 10.1097/BPB.0000000000000323.

DOI:10.1097/BPB.0000000000000323

PMID:27203708

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.

摘要

本研究的目的是呈现先天性肌性斜颈晚期病例手术治疗的结果。1990年至2010年期间，我科对31例先天性肌性斜颈晚期病例进行了手术治疗。术后，头部颈托牵引10天；佩戴颈托5周，之后佩戴软质颈圈3个月。根据程和唐的标准评估最终结果。总体而言，84%的患者最终结果为优，16%的患者为良。我们的结果表明，对于7岁以上儿童，手术松解联合适当的矫形器和结构化物理治疗方案可取得满意结果。