Case Report

Fusion Surgery Required for Recurrent Pediatric Atlantoaxial Rotatory Fixation after Failure of Temporary Fixation with Instrumentation

Figure 1

Patient showing torticollis before treatment, with head tilting, neck rotation, and a characteristic “cock-robin” position (a). Simple cervical open mouth view radiograph showed lateral tilting of the cervical spine and rotated atlas on the axis (b). Coronal (c), axial (d), and 3D (e). CT images showed lateral tilting of C1 and anterior rotated atlas on the axis. Plain radiograph after closed reduction under general anesthesia (e, f).
(a)
(b)
(c)
(d)
(e)
(f)