Atlantoaxial rotatory fixation (AARF) and subluxation are conditions that affect ... of high-intensity laser therapy (HILT) in treating a child with acute AARF, showing significant improvement ...

This approach may spare the children several weeks in halo traction as described in the case example (3). 1. Schwarze M, Hemmer S, Akbar M: Atraumatic atlantoaxial subluxation—Grisel syndrome.

Eight patients had atlanto-axial instability. Six had interlaminar fusion between atlas and axis. No serious complications were seen. Stability was obtained in all patients postoperatively.