The fate of missed atlanto-axial rotatory subluxation in children
Torticollis in children can be due to atlanto-axial rotatory subluxation. If diagnosis, based on plain lateral radiography and on computed tomography, and specific treatment are delayed, reduction becomes difficult to accomplish. Atlanto-axial fusion might be indicated to cure the instability. Thus, a diagnostic delay may prevent restoration of cervical spine function. In acquired torticollis in children, radiographic evaluation is indicated if the symptoms are not relieved within 1 week, but immediate radiography is indicated in traumatic torticollis.