caa a22 4500 606214941 CHVBK 20210128101056.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00701-015-2348-1 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2348-1 Selective peripheral denervation for the treatment of spasmodic torticollis: long-term follow-up results from 648 patients [Elektronische Daten] [Junwen Wang, Jun Li, Lin Han, Songbo Guo, Lu Wang, Zuojun Xiong, Jie Ma, Jian Liang, Lei Wang] Background: Selective peripheral denervation (SPD) is currently the primary surgical treatment for spasmodic torticollis (ST). Our objective here is to report on the outcome of patients treated with this procedure for ST in our department. Methods: Between June 1995 and June 2013, 648 patients underwent SPD for ST. We included 293 women (45.2%) and 355 men (54.8%) with a mean age of 41.1years (range, 8-74 years) at the onset of dystonia. Surgery was performed at a mean of 3.6years (range, 1-32 years) after onset of symptoms. Data on clinical presentation, radiological studies, operation tragedy, clinical outcomes and complications were analysed retrospectively. For evaluation of clinical outcomes, patients' responses were assessed using the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Results: Results were obtained from all 648 patients with a follow-up period ranging from 11months to 154months (mean, 33.4months). The mean preoperative TWSTRS score was 54.7 ± 18.3 points (range, 39-67 points), which decreased to 31.1 ± 11.6 points postoperatively (range, 1-67 points); a significant improvement was observed between preoperative and postoperative TWSTRS evaluation; the clinical improvement of TWSTRS was 73.5 ± 11.9%. In addition, no deaths and serious complications occurred in this cohort of patients. Conclusions: SPD is an effective surgical method for patients with ST. This procedure should be recommended if conservative therapy does not offer satisfactory relief of symptoms. Springer-Verlag Wien, 2015 Spasmodic torticollis nationallicence Dystonia nationallicence Selective denervation nationallicence Resection nationallicence Wang Junwen Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Li Jun Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Han Lin Department of Neurosurgery, Tongji Hospital Affiliated to Tongji Medical College, 430000, Wuhan, Hubei, People's Republic of China aut Guo Songbo Department of Neurosurgery, Tongji Hospital Affiliated to Tongji Medical College, 430000, Wuhan, Hubei, People's Republic of China aut Wang Lu Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Xiong Zuojun Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Ma Jie Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Liang Jian Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Wang Lei Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 427-433 0001-6268 157:3<427 2015 157 701 https://doi.org/10.1007/s00701-015-2348-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2348-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wang Junwen Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Li Jun Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Han Lin Department of Neurosurgery, Tongji Hospital Affiliated to Tongji Medical College, 430000, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Guo Songbo Department of Neurosurgery, Tongji Hospital Affiliated to Tongji Medical College, 430000, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Wang Lu Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Xiong Zuojun Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Ma Jie Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Liang Jian Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 700 1- Wang Lei Department of Neurosurgery, Wuhan Central Hospital Affiliated to Tongji Medical College, 430014, Wuhan, Hubei, People's Republic of China aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 427-433 0001-6268 157:3<427 2015 157 701