In the Department of Pediatric Surgery, Uludag University Medical Faculty i
n Bursa, during the last 11 years, the Peter G. Jones technique for the sur
gical correction of muscular torticollis in older children has been introdu
ced. Twenty children between 4 and 13 years of age were treated for muscula
r torticollis. They were followed up from 3 months to 10 years after surger
y. All patients had a middle-third open transection of the sternocleidomast
oid muscle. Preoperative and postoperative assessment by a rigid scoring sy
stem showed that all patients improved in terms of function as well as cosm
esis. Children younger than 10 years showed the most improvement, with 90%
excellent and good results. Late middle-third open transection of the stern
omastoid in muscular torticollis may give acceptable results.