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

Charles H. Adler, Richard S. Zimmerman, Mark K. Lyons, Fred Simeone, Mitchell F. Brin

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Patients with cervical dystonia or ties 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 tie-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.

Original languageEnglish (US)
Pages (from-to)79-81
Number of pages3
JournalMovement Disorders
Issue number1
StatePublished - 1996


  • Botulinum toxin
  • Dystonia
  • Myelopathy
  • Radiculopathy
  • Tic

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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