{
  "abstract": "Atlantoaxial rotatory subluxation (AARS) represents a significant cause of acute torticollis in children involving rotational displacement of C1 on C2. Unlike common idiopathic torticollis, AARS represents a true subluxation that frequently necessitates reduction by an experienced provider to restore alignment. Here, we present the case of a child who developed AARS after falling out of bed. A CT scan confirmed acute C1–C2 rotatory subluxation. The patient was successfully treated with closed reduction under sedation in the emergency department by a paediatric spine surgeon, followed by immobilisation in a cervical collar. At the 2-week follow-up, she had achieved a full clinical and radiographic recovery with a return to normal function. This case underscores the necessity of maintaining a high index of suspicion for AARS in traumatic paediatric torticollis, highlights the role of advanced imaging in reaching a definitive diagnosis and confirms that non-operative management can lead to excellent outcomes.",
  "authors": [
    {
      "affiliations": [
        "Duke University Department of Orthopaedic Surgery, Durham, North Carolina, USA"
      ],
      "name": "Devika A Shenoy"
    },
    {
      "affiliations": [
        "Duke University Department of Emergency Medicine, Durham, North Carolina, USA"
      ],
      "name": "Raelynn Vigue"
    },
    {
      "affiliations": [
        "Duke University Department of Orthopaedic Surgery, Durham, North Carolina, USA"
      ],
      "name": "Iryna Ivasyk"
    },
    {
      "affiliations": [
        "Duke University Department of Emergency Medicine, Durham, North Carolina, USA"
      ],
      "name": "Emily C Sterrett"
    },
    {
      "affiliations": [
        "Duke University Department of Orthopaedic Surgery, Durham, North Carolina, USA"
      ],
      "name": "Robert K Lark"
    }
  ],
  "title": "Closed reduction in the emergency room following traumatic C1-C2 rotary subluxation: a paediatric perspective",
  "uid": "a1f95684-3153-5cf0-948d-cc0f8fff7488"
}