RT Journal Article SR Electronic T1 Neglected Traumatic Atlantoaxial Rotatory Dislocation in Adult JF International Journal of Spine Surgery JO Int J Spine Surg FD International Society for the Advancement of Spine Surgery SP 531 OP 535 DO 10.14444/6071 VO 13 IS 6 A1 SINGLA RAGHAV A1 MANJUNATH NIVEDITHA A1 SHARMA RAVI A1 MISHRA SHASHWAT YR 2019 UL http://ijssurgery.com//content/13/6/531.abstract AB Atlantoaxial rotatory dislocations (AARD) are common in the pediatric population and rarely seen in adults. We describe a case of neglected AARD and subsequent management.A 25-year-old man developed a Fielding type 1 AARD following a road traffic accident. He was managed conservatively for 1.5 months before being referred to us. The patient underwent surgery 1.5 months after the accident.Closed reduction failed, and C1-2 fixation with the Harms technique was performed after intraoperative reduction, resulting in correction of deformity.Delay of treatment makes intraoperative reduction more difficult and increases the possibility of the chronic permanent change of neck muscles and ligaments. Hence, a high index of suspicion with a thorough clinical examination and judicious use of radiological investigations is paramount to the appropriate management of such cases.