{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:48Z","timestamp":1787755608910,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 10-year-old girl presented with a 16-month history of persistent head tilt, restricted neck motion, and neck pain. Imaging demonstrated chronic atlantoaxial rotatory subluxation (AARS) with underlying congenital C1 arch diastasis. Preoperative halo-gravity traction (HGT) was performed over 2.5 weeks, achieving partial realignment, followed by C1 to C2 posterior spinal fusion with iliac crest autograft. Postoperatively, the patient demonstrated stable alignment and resolution of neck pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Chronic AARS may be successfully treated using a staged approach with preoperative HGT followed by cervical arthrodesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00234","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T19:00:33Z","timestamp":1763060433000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Staged Management of Chronic Atlantoaxial Rotatory Subluxation With Halo-Gravity Traction and Cervical Fusion"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6548-3354","authenticated-orcid":false,"given":"Adeesya","family":"Gausper","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4757-4939","authenticated-orcid":false,"given":"Vivien","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California"},{"name":"Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7088-5906","authenticated-orcid":false,"given":"Kenneth","family":"Illingworth","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California"},{"name":"Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4334-7306","authenticated-orcid":false,"given":"Corey","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California"},{"name":"Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"6","key":"bib1-20251113","doi-asserted-by":"crossref","first-page":"382","DOI":"10.5435\/JAAOS-D-14-00115","article-title":"Atlantoaxial rotatory subluxation in children","volume":"23","author":"Neal","year":"2015","journal-title":"J Am Acad Orthop 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