BACKGROUND: @entity1897 ( @entity1897 ) and deep brain stimulation of the globus pallidus ( @entity14243 -DBS) are available surgical options for @entity1 with medically refractory @entity6389 ( @entity6389 ). There are few data available concerning whether @entity1 who have unsatisfactory treatment effects after primary surgery benefit from a different type of subsequent surgery. The aim of this study was to assess whether combining these surgical procedures ( @entity1897 plus @entity14243 -DBS) was effective in @entity1 with unsatisfactory treatment effects after their initial surgery. METHODS: Forty-one @entity1 with medically refractory idiopathic @entity6389 underwent @entity1897 and/or @entity14243 -DBS. @entity1 who were dissatisfied with their primary surgery ( @entity1897 or @entity14243 DBS) elected to subsequently undergo a different type of surgery. These @entity1 were assessed with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). RESULTS: @entity1897 alone and @entity14243 -DBS alone were performed in 16 and 21 @entity1 , respectively. Four @entity1 had unsatisfactory treatment effects after the initial surgery and subsequently underwent another type of surgery. Among them, two @entity1 with persistent @entity3519 after @entity1897 subsequently underwent @entity14243 -DBS, and two other @entity1 who had insufficient treatment effects following @entity14243 -DBS were subsequently treated with @entity1897 . All of these @entity1 experienced sustained improvement from the combined surgical procedures according to the TWSTRS score during a long-term follow-up of 12-90  months. CONCLUSIONS: @entity1 with unsatisfactory treatment effects after an @entity1897 or @entity14243 -DBS experienced improvement from subsequently undergoing other types of surgery. Therefore, combined surgical procedures are additional surgical options with good outcomes in the treatment of @entity1 with residual symptoms after their initial surgery.

Effectiveness of selective peripheral denervation in combination with pallidal deep brain stimulation for the treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity14243 :: ('2821', 'Gene') :: ['GPi'] @entity6389 :: ('MESH:D014103', 'Disease') :: ['CD', 'cervical dystonia'] @entity1897 :: ('MESH:D010523', 'Disease') :: ['Selective peripheral denervation', 'SPD'] @entity3519 :: ('MESH:D004421', 'Disease') :: ['dystonia']
@entity6389 :: (MESH:D014103,Disease) :: ['cervical dystonia']
