Ippolito E, Tudisco C, Massobrio M
J Bone Joint Surg Am. 1985 Jan;67(1):30-8.
At the end of their skeletal growth, we evaluated the cases of sixty-seven patients who had had an open tenotomy of the sternal and clavicular origins of the sternocleidomastoid muscle for idiopathic muscular torticollis. The average length of follow-up was 15.4 years, and the average age at the last follow-up was 23.9 years. The patients were divided into three groups according to their age at the time of operation. Group I consisted of patients who were operated on between the ages of five months and six years; Group II, of patients who were operated on between the ages of seven and eleven years; and Group III, of patients who were operated on when they were twelve years old or older. According to our method of evaluation, 37 per cent of the patients had a good, 45 per cent had a fair, and 18 per cent had a poor result. The patients in Group I had the best results and those in Group III, the worst. In general, the patient's age at operation, the duration of the disease, and the severity of the deformity before the operation had the major effects on both cosmetic and functional results.
在他们骨骼生长结束时，我们评估了67例因特发性肌性斜颈而接受胸锁乳突肌胸骨和锁骨端开放性肌腱切断术的患者病例。平均随访时间为15.4年，最后一次随访时的平均年龄为23.9岁。根据手术时的年龄将患者分为三组。第一组包括5个月至6岁之间接受手术的患者；第二组是7至11岁之间接受手术的患者；第三组为12岁及以上接受手术的患者。根据我们的评估方法，37%的患者效果良好，45%的患者效果尚可，18%的患者效果较差。第一组患者的效果最佳，第三组患者的效果最差。总体而言，患者的手术年龄、疾病持续时间以及术前畸形的严重程度对美容和功能效果均有主要影响。
