Nontraumatic subluxation of the atlanto-axial joint as rare form of acquired torticollis: diagnosis and clinical features of the XXXX .

@entity1 @entity281 @entity9807 @entity244
STUDY DESIGN: Case report and review of the literature. OBJECTIVE: We report a case of @entity244 with a delayed diagnosis. The @entity1 's first presentation in our pediatric orthopedics department was 2 month after surgery (cochlea implantation) with a persistent torticollis. Radiographs revealed a subluxated @entity9807 . We treated our @entity1 with manual repositioning and calculated antibiotics, which lead to a restitutio ad integrum within a short time. SUMMARY OF BACKGROUND DATA: @entity244 is synonymous with rare nontraumatic, rotational subluxation of the @entity9807 (C1-C2). All formerly reported cases showed a clear association to @entity281 or were related to head and neck surgery. Still, there is a lack of understanding about pathogenetic features and causative agents. In 1977 Fielding proposed a classification of the @entity9807 and stage-related therapy was recommended. METHODS: Our @entity1 was a 11-year-old @entity1 with a torticollis after insertion of a cochlea implant. After surgery, physiotherapy was performed because of her wryneck. As the symptoms did not improve, she was presented in our clinic. Our radiographs revealed a subluxated @entity9807 . RESULTS: In general anesthesia we performed a manual repositioning and she was temporarily immobilized with a cervical collar for 2 weeks. In addition, we administered calculated antibiotics, although CRP and leukocytes were not elevated. The follow up showed a good repositioning within a short time. CONCLUSION: At least in this case, our treatment led to shorter recovery and avoidance of halo fixation. Our new therapeutic approach to @entity1 with @entity244 might lead to a shorter recovery.
