Delayed diagnosis of atlanto-axial rotatory subluxation with subsequent occipito-atlantal rotatory subluxation
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Acquired torticollis in the paediatric population has a variety of aetiologies, yet often causes the same anatomical derangement of the atlanto-axial joint. Delayed diagnosis can lead to the occipito-atlantal joint trying to accommodate the torticollis, leading to instability of this joint. We report the case of a boy referred to our Regional Paediatric Spine service.
A fit and well 13-year-old male developed a right-sided torticollis 6 months prior to referral to the Peninsula Spine Unit. Both the patient and his family could not remember any predisposing events such as traumatic injury nor recent upper respiratory tract infection.
KeywordsCervical Spine Computerise Tomogram Polyaxial Screw Rotatory Subluxation Halo Traction
Conflict of interest
The authors declare that they have no conflict of interest.
- 2.White AA, Punjabi MM (1990) Clinical biomechanics of the spine. Philadelphia, JB Lippincort Company, Second Edition 92Google Scholar
- 4.Fielding JW, Hawkings RJ (1977) Atlantoaxial rotatory fixation. J Boint Joint Surg 59(1):37–44Google Scholar
- 5.Clark CR, Kathol MN, Walsh T et al (1986) Atlanto-axial rotatory fixation with compensatory counter occipitoatlantal subluxation. A case report 11(10): 1048–1050Google Scholar