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Successful Conservative Treatment of Chronic Atlantoaxial Rotatory Fixation in a Child with Torticollis

Hsu, Pei-Te MD; Chung, Hsin-Yeh MD; Wang, Jue-Long MD; Lew, Henry L. MD, PhD

American Journal of Physical Medicine & Rehabilitation: September 2010 - Volume 89 - Issue 9 - p 776-778
doi: 10.1097/PHM.0b013e3181e29cad
Case Report: Pediatrics

Hsu PT, Chung HY, Wang JL, Lew HL: Successful conservative treatment of chronic atlantoaxial rotatory fixation in a child with torticollis.

A 7-yr-old girl was diagnosed with atlantoaxial rotatory fixation, a serious but treatable cause of acquired torticollis in children and not well known by clinical physicians. Two and a half years after conservative treatment, she had recovered completely. This case report suggests that if the patient has no previous adequate rehabilitation treatment, then conservative treatments are effective for chronic but stable atlantoaxial rotatory fixation.

From the Department of Physical Medicine & Rehabilitation (PTH, HYC, JLW), Kaohsiung Veterans General Hospital, Taiwan; Department of PM&R, Harvard Medical School (HLL), Boston, Massachusetts; and Traumatic Brain Injury Center of Excellence (HLL), VA Boston Healthcare System, Boston, Massachusetts.

All correspondence and requests for reprints should be addressed to Pei-Te Hsu, MD, Department of Physical Medicine & Rehabilitation, Kaohsiung Veterans General Hospital, 386 Dajhong 1st Road, Kaohsiung City 813, Taiwan.

Supported by the Department of Physical Medicine & Rehabilitation, Kaohsiung Veterans General Hospital. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2010 Lippincott Williams & Wilkins, Inc.