Surgical Management of the Hangman’s Fracture in the Twelve Cases: Case Series
Yükleniyor...
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Hangman's fracture is a condition characterized by anterior displacement of C2 upon C3 with a fracture in the C2 where the neural arch attaches to the vertebral corpus as a result of axial loading of the head accompanying hyperextension. Material and Methods: From January 2015 to January 2022, analysis retrospectively included 12 patients operated by hangman’s fracture. The lesions were considered to be a hangman’s fracture after computed tomography findings. The clinical condition was classified on the basis of American Spinal Injury Association scale and visual analog scale. All patients underwent C2-3 posterior fusion. All patients had at 6 and 12 months follow-up cervical computed tomography, which were used to assess bony union, final displacement, and angulation. Results: 5 of the patients were males and 7 females with the age range of 22-82 (mean age 49). The cause of trauma was in vehicle accident in 4 patients, falling from a height in 6 patients, and falling after slipping in the bathroom in 2 patient. All patients complained of neck pain. Except for 2 patients with upper extremity paralysis and spastic tetraparesis, 10 patients had no neurological deficit. According to the Levine and Edwards typical hangman’s fracture classification, 7 had Type II fractures, while one patient had Type III fractures. According to the Li-Wang atypical hangman’s fracture classification, 4 were Type B. Conclusion: Radiological evaluation and subsequent classification are very important in management. Posterior C2-3 fusion is a very effective surgical way.
Açıklama
Anahtar Kelimeler
Axis, Hangman’s fracture, Traumatic spondylolisthesis, Upper cervical trauma, Aksis, Hangman kırığı, Travmatik spondilolistezis, Üst servikal travma
Kaynak
Turkiye Klinikleri Journal of Medical Sciences
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
43
Sayı
Künye
Bağlantı
https://www.scopus.com/record/display.uri?eid=2-s2.0-85149744152&origin=resultslist&sort=plf-f&src=s&nlo=&nlr=&nls=&sid=20c4fe371b9b908d4f7e419f791331ff&sot=aff&sdt=cl&cluster=scofreetoread%2c%22all%22%2ct&sl=72&s=AF-ID%28%22Alanya+Alaaddin+Keykubat+University%22+60198720%29+AND+SUBJAREA%28MEDI%29&relpos=12&citeCnt=0&searchTerm=
https://hdl.handle.net/20.500.12868/2327
https://www.turkiyeklinikleri.com/article/en-surgical-management-of-the-hangman-s-fracture-in-the-twelve-cases-case-series-100870.html
https://hdl.handle.net/20.500.12868/2327
https://www.turkiyeklinikleri.com/article/en-surgical-management-of-the-hangman-s-fracture-in-the-twelve-cases-case-series-100870.html
