{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:19:45Z","timestamp":1761823185902},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,9]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The Bertrand selective peripheral denervation for cervical dystonia (CD) has been well described, and its effectiveness and safety are established. It is, however, always accompanied by postoperative sensory loss in the C-2 region. Intraoperative bleeding from epidural venous plexuses may also be problematic. The authors developed a new denervation procedure with which to avoid such complications and compared the surgery-related results with those of the traditional Bertrand operation.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> The new procedure consists of intradural rhizotomy of the anterior C-1 and C-2 nerve roots, extradural peripheral ramisectomy from C-3 to C-6, and selective section of peripheral branches of the accessory nerve to the sternocleidomastoid muscle. This procedure was performed in 30 patients (Group A). The results of this procedure were compared with those obtained in a matched group of 31 patients in the authors' series who underwent Bertrand denervation (Group B).<\/jats:p>\n<jats:p content-type=\"fine-print\">Changes of CD rating score at 6-month follow up did not differ between the two groups. In one patient in Group A a C-2 sensory deficit was found, whereas C-2 sensory deficits were demonstrated in all the patients in Group B. No patients in Group A and four patients in Group B experienced occipital neuralgia. The operative time was significantly shorter in Group A. The mean intraoperative blood loss was 115 \u00b1 30 ml (\u00b1 standard deviation) in Group A and 233 \u00b1 65 ml in Group B (p &lt; 0.005).<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> Although symptomatic improvement is the same after the Bertrand operation, the authors' new procedure for CD was associated with a lower incidence of complications and significant decrease of intraoperative blood loss.<\/jats:p>","DOI":"10.3171\/spi.2002.97.2.0201","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:52:47Z","timestamp":1241711567000},"page":"201-206","source":"Crossref","is-referenced-by-count":9,"title":["A new denervation procedure for idiopathic cervical dystonia"],"prefix":"10.3171","volume":"97","author":[{"given":"Takaomi","family":"Taira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomokatsu","family":"Hori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1136\/jnnp.47.9.990","article-title":"Vascular catastrophe following the Dandy McKenzie operation for spasmodic torticollis.","volume":"47","author":"Adams","year":"1984"},{"key":"b2","series-title":"Appl Neurophysiol","first-page":"326","article-title":"Technical aspects of selective peripheral denervation for spasmodic torticollis.","volume":"45","author":"Bertrand","year":"1982"},{"key":"b3","series-title":"Operative Neurosurgical Techniques","first-page":"1261","article-title":"Operative management of spasmodic torticollis and adult-onset dystonia with emphasis on selective denervation","author":"Bertrand","year":"1988"},{"key":"b4","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/0090-3019(93)90118-K","article-title":"Selective peripheral denervation for spasmodic torticollis: surgical technique, results, and observation in 260 cases.","volume":"40","author":"Bertrand","year":"1993"},{"key":"b5","series-title":"Surgery for Parkinson's Disease and Movement Disorders.","first-page":"335","article-title":"Selective peripheral denervation and posterior ramisectomy in cervical dystonia","author":"Braun","year":"2001"},{"key":"b6","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1227\/00006123-199407000-00009","article-title":"Selective peripheral denervation for the treatment of spasmodic torticollis.","volume":"35","author":"Braun","year":"1994"},{"key":"b7","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1001\/archsurg.1930.01150120139008","article-title":"An operation for the treatment of spasmodic torticollis.","volume":"20","author":"Dandy","year":"1930"},{"key":"b8","series-title":"Brain","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1093\/brain\/121.4.547","article-title":"Current concepts on the clinical features, aetiology and management of idiopathic cervical dystonia.","volume":"121","author":"Dauer","year":"1998"},{"key":"b9","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1136\/jnnp.65.4.472","article-title":"Outcome of selective ramisectomy for botulinum toxin resistant torticollis.","volume":"65","author":"Ford","year":"1998"},{"key":"b10","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1007\/BF01420507","article-title":"Bilateral microsurgical lysis of the spinal accessory nerve roots for treatment of spasmodic torticollis. Follow up of 33 cases.","volume":"83","author":"Freckmann","year":"1986"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"46","DOI":"10.3171\/jns.1993.78.1.0046","article-title":"Treatment of spasmodic torticollis with intradural selective rhizotomies.","volume":"78","author":"Friedman","year":"1993"},{"key":"b12","series-title":"Clin Neurosurg","first-page":"29","article-title":"Spasmodic torticollis; results after cervical rhizotomy in 80 cases.","volume":"17","author":"Hamby","year":"1970"},{"key":"b13","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1136\/jnnp.63.5.642","article-title":"Symptomatic and functional outcome of surgical treatment of cervical dystonia.","volume":"63","author":"Krauss","year":"1997"},{"key":"b14","series-title":"Acta Neurochir","first-page":"S85","article-title":"The Foerster-Dandy operation for the treatment of spasmodic torticollis.","author":"Speelman","year":"1987"},{"key":"b15","series-title":"Textbook of Stereotactic and Functional Neurosurgery.","first-page":"1053","article-title":"Overview of the surgical treatment of spasmodic torticollis","author":"Tasker","year":"1998"},{"key":"b16","series-title":"Lancet","first-page":"245","article-title":"Double-blind study of botulinum toxin in spasmodic torticollis.","volume":"2","author":"Tsui","year":"1986"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/97\/2\/article-p201.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/97\/2\/article-p201.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/97\/2\/article-p201.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T21:09:21Z","timestamp":1681592961000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/97\/2\/article-p201.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,9]]},"references-count":16,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/spi.2002.97.2.0201","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2002,9]]}}}