Botulinum toxin enhancement of postoperative immobilization in patients with cervical dystonia. Technical note

J Neurosurg. 1992 Nov;77(5):808-9. doi: 10.3171/jns.1992.77.5.0808.


Postoperative immobilization in patients with cervical dystonia requiring fusion presents a unique management problem. Two patients with severe degenerative cervical spine disease secondary to chronic repetitive motion are reported. Both required a surgical fusion and postoperative immobilization. Botulinum toxin was injected intramuscularly to assist in immobilization. The technique used is described.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Botulinum Toxins / therapeutic use*
  • Cervical Vertebrae
  • Dystonia / complications
  • Dystonia / drug therapy*
  • Female
  • Humans
  • Immobilization*
  • Male
  • Middle Aged
  • Postoperative Period
  • Spinal Diseases / complications
  • Spinal Diseases / drug therapy
  • Spinal Diseases / surgery*
  • Spinal Fusion
  • Torticollis / complications
  • Torticollis / drug therapy*


  • Botulinum Toxins