Subluxación rotatoria atlantoaxoidea de aparición espontánea en los niños

An spontaneous fixed rotatory deformity in children is a well documented condition. In many children a throat or an upper respiratory airway infection acts locaIly over the alar ligaments of the atlanto-axial joint, producing an abnormal rnobility which can do a rotatory subluxation. A muscular spasm may lock this subluxation. We have succeeded in two children, with manual reduction, but we advise cervical traction as the most suitable treatment. Relapses have not been observed.

An spontaneous fixed rotatory deformity in children is a well documented condition. In many children a throat or an upper respiratory airway infection acts locaIly over the alar ligaments of the atlanto-axial joint, producing an abnormal rnobility which can do a rotatory subluxation. A muscular spasm may lock this subluxation. We have succeeded in two children, with manual reduction, but we advise cervical traction as the most suitable treatment. Relapses have not been observed.