Craniovertebral Junction Abnormalities in Surgical Patients With Congenital Muscular Torticollis

The Journal of Craniofacial Surgery
Ah-Reum AhnShin-Young Yim

Abstract

Our clinical experience led us to realize that craniovertebral junction (CVJ) abnormalities were common in surgical patients with congenital muscular torticollis (CMT). This study aimed to report the concurrence rate of CVJ abnormalities in surgical patients with CMT, along with comprehensive evaluation of type of concurrent CVJ abnormalities. This was a retrospective cohort study in a tertiary hospital, including 41 subjects who underwent surgical release for CMT at the mean age of 8.38 years. The presence of CVJ abnormalities was analyzed, using craniofacial 3-dimensional computed tomography images. The concurrence rate of CVJ abnormalities was 70% in surgical patients with CMT. Subjects with CVJ abnormalities had, on average, 1.48 abnormalities. The CVJ abnormalities were rotation and lateral shift of the atlanto-axial joint along with rotation of atlanto-occipital joint, where rotation of the atlanto-axial joint was most common (82.76%). There is no patient with anterior shift of the atlanto-axial joint. Chronic mechanical tension by the contracted unilateral sternocleidomastoid muscle of CMT could be responsible for concurrent CVJ abnormalities. The CVJ abnormalities are more common in the atlanto-axial joint than in the a...Continue Reading

References

Sep 1, 1986·Journal of Pediatric Orthopedics·E H LeeK Bose
May 1, 1966·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·G R LockeE F Van Epps
Mar 21, 2000·Plastic and Reconstructive Surgery·L HollierJ G McCarthy
May 18, 2004·International Journal of Oral and Maxillofacial Surgery·R A C Chate
Mar 8, 2005·The Journal of Craniofacial Surgery·Michelle B Joyce, Tristan M B de Chalain
Oct 6, 2005·American Journal of Physical Medicine & Rehabilitation·Joyce L OleszekPamela E Wilson
Dec 21, 2006·Surgical and Radiologic Anatomy : SRA·Shaoyin DuanJianghe Kang
Apr 9, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Arnold H Menezes
Mar 25, 2009·Journal of Children's Orthopaedics·Ismat GhanemGabi Kreichati
Sep 5, 2009·American Journal of Physical Medicine & Rehabilitation·Shin-Young YimMyong-Chul Park
Mar 5, 2010·Neurosurgery·Michael D MartinDennis J Maiman
Mar 5, 2010·Neurosurgery·Michael P SteinmetzEdward C Benzel
Jan 5, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Dachling Pang, Dominic N P Thompson
Aug 9, 2011·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Charles Raybaud
Nov 16, 2013·Annals of Rehabilitation Medicine·See-Hyun ParkSang-Hee Lee
Feb 4, 2014·Pediatrics in Review·Alice A KuoJohn M Graham
Apr 11, 2014·Journal of Neurological Surgery. Part B, Skull Base·Zhiyun WangQingshui Yin
Sep 21, 2016·Journal of Neurological Surgery. Part B, Skull Base·Anna E Nidecker, Peter Y Shen
Sep 28, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Clarice N Sinn, Robert J Rinaldi
Dec 7, 2016·The Journal of Craniofacial Surgery·Mohammed Ahmed HusseinYong Oock Kim
Aug 2, 2017·Annals of Rehabilitation Medicine·Ah-Reum AhnShin-Young Yim

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Citations

Oct 3, 2018·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Sandra L KaplanBarbara Sargent
Jun 11, 2019·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Hyun Gi Kim, Shin-Young Yim

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