Archives of Orthopaedic and Trauma Surgery

, Volume 117, Issue 4–5, pp 288–289 | Cite as

The fate of missed atlanto-axial rotatory subluxation in children

  • N. Schwarz
Current problem case


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.

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • N. Schwarz
    • 1
  1. 1.Unfallkrankenhaus, Waidmannsdorferstrasse 35, A-9021 Klauenfurt, AustriaAT

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