{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T09:58:37Z","timestamp":1784368717320,"version":"3.55.0"},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTraumatic atlantoaxial rotatory subluxation (AARS) is extremely rare in adult versus pediatric populations. Patients usually present with post-traumatic neck pain and torticollis. Surgical management aims at reducing the deformity and stabilizing the spine utilizing external orthotics, and\/or internal reduction\/fixation.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nA 65-year-old female fell downstairs at home. She complained of neck pain with right-sided tenderness and torticollis. The radiographic studies and CT scan demonstrated AARS. This led to an emergent open reduction with internal fixation at the C1-C2 level.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nWe identified 25 similar cases of AARS in the English literature. Patients averaged 28.7 years of age and mostly sustained motor vehicle accidents largely treated with traction\/orthotics; only six patients required surgical open reduction\/internal fixation.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nIn this case, the patient\u2019s C1-C2 deformity required open reduction\/internal fixation rather than bracing alone.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_671_2020","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T08:42:30Z","timestamp":1604652150000},"page":"376","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Traumatic atlantoaxial rotatory subluxation in adults \u2013 A case report and literature review"],"prefix":"10.25259","volume":"11","author":[{"given":"Hugo Layard","family":"Horsfall","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke\u2019s Hospital and University of Cambridge, Cambridge, United Kingdom,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aref-Ali","family":"Gharooni","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke\u2019s Hospital and University of Cambridge, Cambridge, United Kingdom,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Al-Mousa","sequence":"additional","affiliation":[{"name":"Department of General and Special Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anan","family":"Shtaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St George\u2019s University Hospital NHS Foundation Trust, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erlick","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St George\u2019s University Hospital NHS Foundation Trust, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"key":"10.25259\/SNI_671_2020\/ref-1","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1016\/j.spinee.2014.12.150","article-title":"Traumatic atlantoaxial dislocation with hangman fracture","volume":"15","author":"Chaudhary","year":"2015","journal-title":"Spine J"},{"key":"10.25259\/SNI_671_2020\/ref-2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s00586-016-4916-3","article-title":"Traumatic atlantoaxial rotatory fixation in an adult patient","volume":"28","author":"Garc\u00eda-Pallero","year":"2019","journal-title":"Eur spine J"},{"key":"10.25259\/SNI_671_2020\/ref-3","first-page":"563","article-title":"A C1-2 locked facet in a child with atlantoaxial rotatory fixation. Case report","volume":"103","author":"Missori","year":"2005","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_671_2020\/ref-4","doi-asserted-by":"crossref","first-page":"133","DOI":"10.5005\/jp-journals-10039-1105","article-title":"Combined C1-C2 transarticular with C1 lateral mass screw fixation for the treatment of atlantoaxial instability: A single center experience","volume":"3","author":"Sikander","year":"2016","journal-title":"J Spinal Surg"},{"key":"10.25259\/SNI_671_2020\/ref-5","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/j.jocn.2008.07.082","article-title":"Traumatic bilateral atlantoaxial rotatory subluxation mimicking as torticollis in an adult female","volume":"16","author":"Singh","year":"2009","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_671_2020\/ref-6","doi-asserted-by":"crossref","first-page":"413","DOI":"10.2176\/nmc.cr2012-0431","article-title":"Atlanto axial rotatory dislocation in adults: A rare complication of an epileptic seizure-case report","volume":"54","author":"Tarantino","year":"2014","journal-title":"Neurol Med Chir (Tokyo)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/traumatic-atlantoaxial-rotatory-subluxation-in-adults-a-case-report-and-literature-review\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/traumatic-atlantoaxial-rotatory-subluxation-in-adults-a-case-report-and-literature-review\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T08:42:32Z","timestamp":1604652152000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/traumatic-atlantoaxial-rotatory-subluxation-in-adults-a-case-report-and-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,6]]},"references-count":6,"alternative-id":["10.25259\/SNI_671_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_671_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,6]]},"article-number":"376"}}