Perioperative use of botulinum toxin for movement disorder-induced cervical spine disease

Mov Disord. 1996 Jan;11(1):79-81. doi: 10.1002/mds.870110114.


Patients with cervical dystonia or tics of the nuchal muscles can develop serious cervical spine disease. We report a series of four patients who received botulinum toxin injections to control their movement disorders prior to their required surgery. One patient with cervical tic-induced radiculomyelopathy required botulinum toxin injection postoperatively to facilitate stabilization of the cervical fusion. Two patients with torticollis-induced cervical radiculomyelopathy, and one patient with dystonia-induced C5 fracture, had botulinum toxin injected preoperatively to facilitate postoperative recovery. Botulinum toxin appears to be a useful adjunct in the treatment of cervical movement disorders prior to or following surgery for associated cervical spine disease.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Botulinum Toxins / administration & dosage*
  • Cervical Vertebrae / surgery*
  • Dystonia / surgery*
  • Humans
  • Intervertebral Disc Displacement / surgery
  • Male
  • Middle Aged
  • Neck Muscles / surgery*
  • Premedication*
  • Spinal Cord Compression / surgery
  • Spinal Diseases / surgery*
  • Spinal Fusion
  • Spinal Stenosis / surgery
  • Spondylitis, Ankylosing / surgery
  • Torticollis / surgery*
  • Tourette Syndrome / surgery


  • Botulinum Toxins