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Journal of Craniovertebral Junction and Spine
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REVIEW ARTICLE
Year : 2019  |  Volume : 10  |  Issue : 2  |  Page : 77-87

Torticollis and rotatory atlantoaxial dislocation: A clinical review


Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India

Correspondence Address:
Prof. Atul Goel
Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Parel, Mumbai - 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_40_19

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Rotatory atlantoaxial instability can manifest as an acute episode following subtle or minor injury or even following a gentle tap on head in young children and can manifest as a painless deformity of the head. Goel technique of direct surgical opening of the atlantoaxial facet joint, manual manipulation of the facets can lead to reduction of rotatory atlantoaxial dislocation and recovery from torticollis. Torticollis can be a protective natural phenomenon in response to atlantoaxial instability and related basilar invagination. Only atlantoaxial fixation can lead to immediate postoperative reduction of torticollis. Spasmodic torticollis related to muscle hyperactivity is unrelated to atlantoaxial instability.


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