ChiroACCESS Clinical Review

Acute Juvenile Cervical Torticollis: Therapy

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

May 21, 2009

Text Size:     
There are possible severe consequences for a missed or delayed diagnosis in acute juvenile cervical torticollis (AJCT).  The ability to eliminate other causative factors and to distinguish between atlantoaxial rotation fixation (AARF) and simple muscular torticollis (MT) is of paramount importance.  The reader is advised to review the monograph on diagnosis to avoid possible long term morbidity in the patient. 

Unfortunately all studies related to the treatment of AJCT are case series, case reports or expert opinion.  Consequently no intervention whether it is conservative, pharmaceutical or invasive can earn more than a “C” rating for strength of evidence.

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