Derakhshan N, Rahimikhorrami A. Reversal of Degenerative Changes in Cervical Spine Following Bipolar Release in a Neglected Case of Congenital Muscular Torticollis: A Case Report. Iran J Neurosurg 2020; 6 (2) :89-92
URL:
http://irjns.org/article-1-195-en.html
1- MD, Assistant Professor of Neurosurgery, Department of Neurosurgery, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
2- MD, Student Research Committee, Department of Neurosurgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran , dr.rahimikhorrami@gmail.com
Abstract: (3304 Views)
Background & Importance: Congenital Muscular Torticollis (CMT) is a common cause of torticollis in children. Despite the easy diagnosis, rare cases may be neglected and untreated during the management of the patients, which can not only impose cosmetic problems for them but also affect the cervical spine with accelerated degeneration. Most patients with CMT can be managed non-surgically with medical and physical therapies but surgery is indicated in some cases when non-surgical attempts are unsuccessful.
Case Presentation: Herein, we are reporting a 16-year-old female with neglected CMT, and neck pain secondary to severe degenerative changes. We believe that neglected and untreated CMT cases may present with accelerated spine degeneration and surgical intervention should be considered promptly to reverse this process.
Conclusion: Surgical intervention not only produces good cosmetic results but also reverses the degeneration process and protects the patient from disabling deformities later in life.