ATLANTOAXIAL ROTATORY FIXATION - DELAYED DIAGNOSIS AND THERAPY

Children may develop a torticollis due to Rotatory Subluxation not onl y after minor trauma, infections of the upper respiratory tract, surgi cal procedures in the oropharynx but also spontaneously. Three cases w ith a delay in diagnosis are presented; the typical symptoms and other causes of torticollis are discussed. The suggested treatement is mobi lisation under general anaesthesia, fixation with a Halo for a few day s and consecutiv immobilisation in a Minervacast for 4-8 weeks. This r egimen was successfull in all three cases.