{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:31:00Z","timestamp":1783776660327,"version":"3.55.0"},"reference-count":6,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2001,12,1]],"date-time":"2001-12-01T00:00:00Z","timestamp":1007164800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2001,12]]},"abstract":"<jats:p>Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the University of Iowa Hospitals and Clinics during a 2-year period beginning in 1997. A review of the symptoms, physical findings, and radiographic abnormalities is presented. Treatment options, varying from muscle relaxants to surgical fusion, are discussed. A high index of suspicion in evaluating children with a stiff neck or pain on attempted motion is essential in order to facilitate prompt diagnosis and appropriate intervention.<\/jats:p>","DOI":"10.1177\/000348940111001210","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"1137-1140","source":"Crossref","is-referenced-by-count":14,"title":["Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient"],"prefix":"10.1177","volume":"110","author":[{"given":"J. David","family":"Holcomb","sequence":"first","affiliation":[{"name":"Gulf Shores, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra M.","family":"Jaffe","sequence":"additional","affiliation":[{"name":"San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy M.","family":"Bauman","sequence":"additional","affiliation":[{"name":"Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"John H.","family":"Greinwald","sequence":"additional","affiliation":[{"name":"Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J. H.","family":"Smith","sequence":"additional","affiliation":[{"name":"Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2001,12,1]]},"reference":[{"key":"bibr1-000348940111001210","first-page":"799","volume":"69","author":"Grobman LR","year":"1990","journal-title":"Ear Nose Throat J"},{"key":"bibr2-000348940111001210","first-page":"1179","volume":"38","author":"Grisel P","year":"1930","journal-title":"Presse Med"},{"key":"bibr3-000348940111001210","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/00003086-198903000-00017","volume":"240","author":"Wetzel FT","year":"1989","journal-title":"Clin Orthop"},{"key":"bibr4-000348940111001210","doi-asserted-by":"publisher","DOI":"10.1016\/S0303-8467(86)80003-8"},{"key":"bibr5-000348940111001210","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759010-00005"},{"key":"bibr6-000348940111001210","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466040-00012"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348940111001210","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348940111001210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:19:43Z","timestamp":1777375183000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348940111001210"}},"subtitle":["A Report of Four Cases"],"short-title":[],"issued":{"date-parts":[[2001,12]]},"references-count":6,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2001,12]]}},"alternative-id":["10.1177\/000348940111001210"],"URL":"https:\/\/doi.org\/10.1177\/000348940111001210","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,12]]}}}