Oh I, Nowacek C J
Clin Orthop Relat Res. 1978 Mar-Apr(131):141-5.
Longstanding untreated congenital torticollis in adults is uncommon and surgical release in such a case can be hazardous or fraught with many possible complications. A two-stage, open, bipolar surgical division of the contracted sternocleidomastoid muscle in a 33-year-old woman who developed pain and paresthesiae in the neck and arm was performed under general then local anesthesia. Surgery then controlled gradual stretching in a halo-vest achieved complete subsidence of pain, a near-full range of neck motion and correction of the tilt deformity, without complication. The facial asymmetry and the underlying fixed skeletal changes remained. Surgical release and gradual correction in a halo apparatus can eliminate the need for major spinal surgery in the correction of longstanding torticollis.
成人长期未治疗的先天性斜颈并不常见，在这种情况下进行手术松解可能具有危险性或充满许多潜在并发症。对一名33岁女性进行了两阶段、开放性、双极手术，切断其挛缩的胸锁乳突肌，该女性出现颈部和手臂疼痛及感觉异常，手术先在全身麻醉下进行，然后在局部麻醉下完成。术后通过头环背心进行逐步牵引，疼痛完全缓解，颈部活动范围接近正常，倾斜畸形得到矫正，且无并发症发生。但面部不对称及潜在的骨骼固定改变依然存在。在头环装置中进行手术松解和逐步矫正，可避免在矫正长期斜颈时进行大型脊柱手术。
