Özet:
Congenital muscular torticollis (CMT) is a common
congenital disorder of the musculoskeletal system in neonates and
infants. The aim of this study was to evaluate the results of inferior
Z-plasty in older children with CMT. They had mean age of 10 years
(range, 5Y14 years) and were followed up for 1 to 6 years. Postoperative
protocol included a neck exercise program composed of
active and passive movements in all cases and immobilization with a
cervical collar in only 4 patients. This study concluded that surgical
management of older children with CMT using Z-lengthening gives
excellent clinical and functional results. The procedure is much more
effective than other techniques and relatively complication-free and
safe. Postoperative cervical collar and a well-planed physiotherapy
protocol go a long way toward ensuring good to excellent results.
Early diagnosis and treatment are necessary for good results.