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Atlantoaxial Rotatory Fixation (AARF)

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Textbook of Pediatric Neurosurgery

Abstract

Atlantoaxial rotatory fixation (AARF) remains a recondite entity. An earlier normative study conducted by the author’s group using computed tomography (CT) motion analysis shows that there is a high degree of concordance for rotational behavior of C1 and C2 in children 0 to 18 years. This enables the construction of the physiologic C1-C2 rotation motion curve, such that AARF can be defined and classified by comparing the patient’s abnormal motion analysis curve to this normative template. This chapter therefore begins with a detailed brief preamble on the clinical signatures of AARF, followed by a disquisition on the normal and pathological rotation dynamics of the C1-C2 joint.

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Authors and Affiliations

  1. Department of Paediatric Neurosurgery, Kaiser Permanente Medical Centre, 3600 Broadway Street, 3rd Floor, Suite 39, Oakland, CA, 94611, USA

    Dachling Pang

  2. University of California, Davis, CA, USA

    Dachling Pang

  3. Great Ormond Street Hospital For Children, NHS Trust, London, UK

    Dachling Pang

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  1. Dachling Pang
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Correspondence to Dachling Pang .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. Davis; and Kaiser Permanente Hospitals of Northern California, University of California, Oakland, United States of America

    Dachling Pang

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Pang, D. (2017). Atlantoaxial Rotatory Fixation (AARF). In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_136-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_136-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31512-6

  • Online ISBN: 978-3-319-31512-6

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