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Revista Información Científica
versión On-line ISSN 1028-9933
Resumen
HERNANDEZ-DINZA, Pablo Antonio y OMAR-MARTINEZ, Erislandy. Clinical, radiological, and epidemiological characterization of children with sequelae of congenital muscular torticollis. Rev. inf. cient. [online]. 2022, vol.101, n.3 Epub 09-Mayo-2022. ISSN 1028-9933.
Introduction:
Sequelae of congenital muscular torticollis in children have a wide spectrum, some of which, set already, may require complex and costly surgical corrections.
Objective:
To characterize the sequelae of congenital muscular torticollis according to clinical, radiological, and epidemiological elements in children attended in Santiago de Cuba from 2017 to 2020.
Method:
Prospective-analytical case-control study in 112 children with this disease, separated in cases (24 children) and controls (88 children). Data processing involved frequency analysis, calculation of chi-square, identification of factors associated with dependent variable, calculation of the p-value and OR.
Results:
The male population predominated in cases (70.8%) and controls (68.2%), with a statistical association between age ≥ 6 months at diagnosis and the presence of complications (OR: 2.4-20.4; p=0.00). There was a statistical association between macrosomia at birth and the presence of complications in 25.0 % of cases and 11.4 % of controls (OR: 1.9-12.5; p=0.02). There was a statistical association between late initiation of rehabilitation treatment and complications (OR: 2.86-21.3; p=0.00).
Conclusions:
A predominance of organic complications or comorbidities was observed in males, with a significant increase of sequelae in this group and also when medical treatment is started after 6 months of age. The most frequent complications were facial asymmetry, plagiocephaly and association of two or more sequelae.
Palabras clave : congenital muscular torticollis; organic sequelae; early rehabilitative treatment; cervical dystonia.