In life, the word “pillow” is often mentioned, but for children, the so-called “pillow”, can draw the attention of parents. There is a disease, the symptoms are similar to the pillow, looks like a crooked neck, the child will also feel neck pain, but parents should understand that children are generally not easy to pillow, this situation is likely to suffer from “atlantoaxial subluxation”, which is a disease that requires active treatment. Some parents carelessly think that they have also had the experience of crooked neck, but after some days it will be natural, why the child crooked neck actually need hospitalization, serious people even have to operate, then we have to re-understand the differences between children crooked neck and adults. Adults, fallen pillow mostly due to physical weakness, strain, shoulder and neck muscle group after the accumulation of strain, poor sleeping position or pillow height, soft and hard discomfort and other triggers lead to excessive flexion and stretching of one side of the muscle group and soreness or even spasm, so that the neck appears crooked performance. Muscle strain can be relieved by some physical therapy such as hot compresses or tui na acupuncture. Unlike children, who are less likely to suffer from neck and shoulder strain, their crooked necks are not the “pillow” that people mistakenly think they are. If a child has a crooked neck, the family should think carefully about whether the child has suffered from sinusitis, tonsillitis, pharyngitis, gingivitis, etc. caused by upper respiratory tract infections within a week or two, or whether the head and neck have been hit by external forces, if so, go to the hospital as soon as possible to rule out the possibility of atlantoaxial subluxation. The first cervical vertebra connected to the skull is called the atlantoaxial vertebra and the second is called the pivot vertebra. Compared with adults, children have weaker neck muscles and ligaments around the vertebrae, and the stability of the vertebrae is poorer than that of adults, and the various types of throat infections mentioned above, when they spread to the ligaments of the atlas, lead to inflammation of the joint capsule, local congestion and ligamentous laxity, which can cause atlantoaxial joint dislocation if there is poor sleeping posture and minor trauma. The highest incidence of the disease is in children aged 2 to 12 years, with the highest incidence in children aged 3 to 6 years, and a low incidence after the age of 8 years, when the child’s cervical spine is solidly developed. When a minor dislocation occurs, the child may not show symptoms, but when the dislocation is severe, spinal cord compression symptoms such as numbness and lack of strength in the hands and feet may occur, further affecting breathing and leading to paralysis or even death in severe cases. To prevent atlantoaxial dislocation in children, the most important thing is to treat the inflammation caused by various upper respiratory tract infections in a timely manner to prevent secondary infections in the tissues surrounding the atlas. For thin children with poor health and thin necks, parents should take better care of them, urge them not to play strenuous games during their illness, and avoid excessive force when turning their heads. Once the symptoms of the suspected “pillow”, do not blindly push or force to help the child “break the neck”, so as not to aggravate the degree of dislocation. You should immediately take your child to the hospital for examination, if the dislocation is confirmed, must be treated under the guidance of a professional doctor. The prognosis for early detection and treatment is generally very good. On the basis of taking antibiotics to control the inflammation in a timely manner, the joint can be reset in time and gradually stabilized in a normal position by combining methods such as Chinese medicine traction and manual repositioning. Do not use too high a pillow when your child sleeps; don’t forget to protect your child’s neck when you have a cold. Once you find that your child’s neck movement is restricted, or that he or she has no power to lift his or her head, or that he or she complains of neck pain, you should immediately consult a doctor if the diagnosis of atlantoaxial subluxation is confirmed, and be sure to treat it under the guidance of a professional doctor.