Abstract
A 70-year-old man was presented with a posterior neck pain and limitation of motion of cervical spine after a traffic accident. He had no neurologic deficit. Plain radiographs demonstrated torticollis and a typical “cock robin” position of the head (Fig. 1). Computed tomography showed atlantoaxial rotatory subluxation with bilateral locked facets (Fig. 2). Management consisted of analgesia, sedation, and application of halo skull traction. A clinical reduction of the subluxation was obtained and was confirmed by computed tomography scan. Immobilization with a rigid collar was performed in the following 8 weeks. The further follow-up of 6 months was completed; he was free from the neck pain and resumed normal activities. Fig. 2Atlantoaxial computed tomography scan (Top) and coronal reconstruction (Bottom). Bilateral facets between C1 and C2 are interlocking. View Large Image Figure Viewer Download Hi-res image
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