The application of electrophysiology in the correction of spastic torticollis by triple surgery—report of 96 cases

BMC Musculoskeletal Disorders

Research

Lu Wang¹  Jun Li¹  Jun Wu¹  Hao Xu¹ 

[1] Departmennt of Neurosurgery, Tongji Medical College, The Central Hospital of Wuhan, Huazhong University of Science and Technology, No. 26 Shengli Street, Jiang An District, 430014, Wuhan, Hubei, China;

关键词: Spastic torticollis;    Electrophysiological application;    The ‘triple operation’;   

DOI  :  10.1186/s12891-023-06518-3

 received in 2022-08-18, accepted in 2023-05-11,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveTo investigate the effect and value of electrophysiology in the ‘triple operation’ (selective excision of spastic muscles in the neck, selective resection of the posterior branch of the cervical nerve and accessory neurotomy) of spastic torticollis.MethodsPreoperative electromyography (EMG) examination was performed on 96 patients with spastic torticollis treated in our hospital from January 2015 to December 2019. The results were used to assess the responsible muscles’ primary or secondary position and the function of antagonistic muscles and to formulate a personalised surgical plan. A Cascade PRO 16-channel electrophysiological diagnostic system (produced by Cadwell, USA) was used to record the evoked EMG. Target muscles were denervated under intraoperative electrophysiological monitoring and re-examined by EMG six months later to evaluate the efficacy.ResultsThe satisfactory rate of target muscle denervation was 95%, and the overall good rate was 79.1%.ConclusionElectrophysiological examination and intraoperative application may have a positive value in the selection of the operative method, improving the rate of denervation and evaluating the prognosis of the ‘triple operation’.

【 授权许可】

CC BY   
© The Author(s) 2023