Journal of neurosurgery
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J. Neurosurg.
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Journal of neurosurgery · Mar 2004
Open reduction of pediatric atlantoaxial rotatory fixation: long-term outcome study with functional measurements.
Atlantoaxial rotatory fixation (AARF) is an uncommon disorder of childhood in which resolution usually occurs spontaneously or after traction therapy. In a minority of children irreducible or chronic fixation develop, and the natural history then usually involves restriction of head on neck movement, abnormal head position, and progressive facial asymmetry. The conventional management in these cases has been a posterior fusion. ⋯ In the authors' opinion, open reduction provides the best possibility of normal facial development and return of axial movement in cases of AARF.