Atlantoaxial subluxation can not always be completely reset in a single orthopedic session. Early treatment for atlantoaxial subluxation is continuous traction, which is usually self-recovery after two to three weeks of traction. If the atlantoaxial joint is still not reset after continuous traction, orthopedic manipulation can be chosen. Orthopedic manipulation for atlantoaxial subluxation carries certain risks. If orthopedic manipulation is not used correctly, it can cause serious damage to the cervical cord of the patient. If the atlantoaxial subluxation is large and the neck muscles are tense and contracted, it is difficult to achieve a complete reset after one orthopedic manipulation. It is recommended to carry out continuous traction first, and then orthopedic manipulation can be carried out after the muscles are loosened, and repeated manipulation and reset are avoided.