was achieved. Dynamic CT scan revealed adequate reduction of the atlantoaxial rotatory subluxation. However, at the end of two weeks, she returned with torticollis despite wearing the cer-vical collar. She was again treated with Gardner-Well’s traction for two weeks followed by cervical collar for three months. At 42 months follow-up, she was asymptomatic. Rotatory atlantoaxial subluxation is an uncommon and poorly understood clinical entity.1 Various conditions which can predispose to rotatory subluxation include inflammation, and surgical procedures in and around the throat, neck and cervical spine.2-5 The physiological laxity of the ligaments around the CV junction may be the underlying predisposing factor for rotatory subluxation. The presence of a torticollis in a child should arouse suspicion of rotatory atlantoaxial subluxation, particularly when there is a recent history o
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