It would seem that spasmodic torticollis had run the gauntlet of therapeutic efforts, surgical, medical and psychic. With one exception, the surgical methods have appeared after one or two trials and after an all too brief test of time. And, with this exception, the lack of later reports by the authors is in itself almost adequate evidence that the procedures have ended in failure, as indeed they must. Again, with this one exception, the surgical procedures have been unilateral. Regardless of one's interpretation of the underlying spasmodic contractures, one fact is incontrovertible, i. e., the disease is never restricted to an isolated muscle or to a single group and never to the muscles of one side.
To one not acquainted with the subsequent history of cases of this type, it is indeed difficult to understand why the simple excision of a preponderant, rigid, sternomastoid muscle, which dominates the clinical picture,