THE FATE OF MISSED ATLANTOAXIAL ROTATORY SUBLUXATION IN CHILDREN

Torticollis in children can be due to atlanto-axial rotatory subluxati on. If diagnosis, based on plain lateral radiography and on computed t omography and specific treatment are delayed, reduction becomes diffic ult to accomplish. Atlanto-axial fusion might be indicated to cure the instability. Thus, a diagnostic delay may prevent restoration of cerv ical spine function. In acquired torticollis in children, radiographic evaluation is indicated if the symptoms are not relieved within 1 wel l, but immediate radiography is indicated in traumatic torticollis.