{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:59:07Z","timestamp":1757311147478},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"vor","delay-in-days":2670,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>Atlantoaxial subluxation is a rare condition and requires a high index of suspicion to diagnose and treat in order to avoid long-term sequelae. Here, we present a case of late presentation of a nontraumatic rotatory subluxation of the atlantoaxial joint or atlantoaxial rotatory subluxation. A 17-year-old girl presented 3 months after the onset of nonspecific upper limb sensory symptoms which eventually settled spontaneously. Initial conservative management by the general practitioner had no effect. Computed tomography scanning revealed a Type 1 dislocation with rotatory fixation and with &lt;3 mm anterior displacement of the atlas. The management of Type 1 subluxations is usually conservative with bed rest, oral nonsteroidal anti-inflammatory drugs, muscle relaxants, reduction (if required) and immobilization with a soft collar. This patient, however, required more invasive management due to the late presentation and slightly greater fixed deformity. As the subluxation could not be reduced with active manipulation, Gardner-Wells tongs with traction were applied. She then progressed to a pinned HALO, cyber neck support and subsequently an aspen collar which was eventually weaned off over a few weeks. The outcome and radiologic alignment at follow-up was satisfactory.<\/jats:p>","DOI":"10.4103\/1793-5482.152112","type":"journal-article","created":{"date-parts":[[2015,2,25]],"date-time":"2015-02-25T08:41:32Z","timestamp":1424853692000},"page":"139-141","source":"Crossref","is-referenced-by-count":4,"title":["Spontaneous atlantoaxial subluxation associated with tonsillitis"],"prefix":"10.1055","volume":"10","author":[{"given":"Meenalochani","family":"Shunmugam","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Flinders Medical Centre, Flinders Drive, Bedford Park, Adelaide, SA 5042"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santosh","family":"Poonnoose","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Flinders Medical Centre, Flinders Drive, Bedford Park, Adelaide, SA 5042"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,22]]},"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/1793-5482.152112.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T03:12:10Z","timestamp":1663902730000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/1793-5482.152112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,9,22]]},"published-print":{"date-parts":[[2015,6]]}},"URL":"https:\/\/doi.org\/10.4103\/1793-5482.152112","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}