{"id":"96888e77-f0a9-4c00-b118-12ec816729d4","slug":"dysplasia-and-anomalies-of-atlas-result-in-pediatric-torticollis-a-case-report-and-literature-review","title":"Dysplasia and anomalies of atlas result in pediatric torticollis: A case report and literature review","authors":["Tushar Narayan Rathod","Ashwin Hemant Sathe","Nandan Amrit Marathe","Abhinav Jogani","Abhinandan Reddy Mallepally","Chetan Shende"],"abstract":"Background: Often, the cause of bony torticollis is difficult to determine, especially in cases of multiple craniovertebral junction anomalies. Case Description: We report a rare case of a dysplastic C1 vertebra (assimilation to the right occiput and C2, a nonseparated left odontoid, and discontinuity in both anterior and posterior arches of the atlas) in a 6-year-old child with progressive torticollis. Notably, the mechanism of torticollis was not a rotatory subluxation of C1-C2, but differential growth between C1-C2. The child underwent a successful C1-C2 Goel and Harms fusion with reduction/correction of the torticollis. Conclusion: Torticollis caused by differential growth between the C1 and C2 vertebrae resulting in a nonrotatory subluxation/torticollis in a 6-year-old child, was successfully managed with a C1-C2 Goel and Harm’s fusion.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/96888e77-f0a9-4c00-b118-12ec816729d4/featured/hero-1781562832822.png","publishDate":"2020-12-29T00:00:00.000Z","doi":"10.25259/SNI_773_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/12/10497/SNI-11-471.pdf"}