{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:11:43Z","timestamp":1781331103057,"version":"3.54.1"},"reference-count":21,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>Occipitoatlantoaxial rotatory fixation (OAARF) is a rare condition involving fixed rotational subluxation of the atlas in relation to both the occiput and axis. Atlantoaxial rotatory fixation (AARF) appears to precede OAARF in most cases, as untreated AARF may cause compensatory counter-rotation and occipitoaxial fixation at an apparently neutral head position. We report a case of OAARF in an 8-year-old girl with juvenile idiopathic arthritis. Cervical imaging demonstrated slight rightward rotation of the occiput at 7.63\u00b0 in relation to C-2 and significant rightward rotation of C-1 at 65.90\u00b0 in relation to the occiput and at 73.53\u00b0 in relation to C-2. An attempt at closed reduction with halo traction was unsuccessful. Definitive treatment included open reduction, C-1 laminectomy, and occipitocervical internal fixation and fusion.<\/jats:p>","DOI":"10.3171\/2011.5.peds10496","type":"journal-article","created":{"date-parts":[[2011,8,1]],"date-time":"2011-08-01T14:59:07Z","timestamp":1312210747000},"page":"198-204","source":"Crossref","is-referenced-by-count":7,"title":["Combined occipitoatlantoaxial rotatory fixation"],"prefix":"10.3171","volume":"8","author":[{"given":"Matthew R.","family":"Fusco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd C.","family":"Hankinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curtis J.","family":"Rozzelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0080198","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1007\/s00381-008-0607-7","article-title":"Fusions at the craniovertebral junction","volume":"24","author":"Ahmed","year":"2008"},{"key":"b2-0080198","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"923","DOI":"10.2106\/00004623-199072060-00021","article-title":"Combined atlanto-axial and occipito-atlantal rotatory subluxation. 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