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  • Title: Atlanto axial rotatory fixation--a cause of torticollis.
    Author: Fidler MW, de Lange J.
    Journal: Clin Neurol Neurosurg; 1979; 81(2):114-8. PubMed ID: 225077.
    Abstract:
    Atlanto-axial rotatory fixation is a rare but important cause of persistent torticollis. The diagnosis is confirmed by careful radiological examination of the atlanto-axial joint, also employing tomography if necessary. Treatment is skull traction in an attempt to improve the position followed by posterior atlanto-axial fusion to prevent further, and potentially disastrous, displacement. Atlanto-axial dislocation or subluxation should be looked for in all cases of acute torticollis, when reduction by traction will most likely be successful and prevent the development of atlanto-axial rotatory fixation and the associated persistent torticollis.
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