Tieners met een torticollis

Teenagers with torticollis In this article we describe three cases of children with torticollis. A 17-year-old patient who appears to have Klippel-Feil syndrome and is treated conservatively. An 11-year-old-patient with torticollis, present since a fall two days earlier and attributed to a subluxation of C1-C2. Ultimately, she had to be treated surgically with an atlantoaxial spondylodesis and has made a good recovery. Finally, a 15-year-old who presents with torticollis which has been present from early childhood. The diagnosis neglected congenital muscular torticollis is made. Because of increasing discomfort she is treated surgically with release of the sternocleidomastoideus. Postoperative, the patient has fewer symptoms. Physicians should be aware of different causes when there is persistent torticollis. Furthermore, children presenting with posttraumatic torticollis require a strict follow-up because atlanto-axial subluxation can lead to permanent deformity.