Sasso also observed that people who underwent surgical treatment will not be affected by pin site infections, brain abscesses, facet joint stiffness, loss. These injuries account for 47% of all cervical spine fractures and up to 22% of axis fractures 6. Hangman s fractures treatments are both nonsurgical and surgical. Lateral cervical xray shows a fracture involving the pars interarticularis of c2 with a 5 mm diastasis and anterolisthesis of c2 on c3. Traumatic spondylolisthesis of the axis vertebra in.
In hangman fracture, stability should be assessed in terms of discal and discoligamentous integrity. It is defined as fractures to the lamina, articular facets, pedicles, or pars of the axis vertebra. Hangman fracture, also known as traumatic spondylolisthesis of the axis, is a fracture which involves the pars interarticularis of c2 on both sides, and is a result of hyperextension and distraction. Hangmans fracture is the colloquial name for a traumatic spinal cord injury that affects the axis vertebrae. Hangmans fracture is the colloquial name given to a fracture of both pedicles, or pars. This patient also has metallic instrumentation in the lower cervical spine. Doctors have used this term since 1965, when some doctors used it to describe traumatic spondylolisthesis involving the pars interarticularis of c2 on both sides. The fracture causes damage to the spinal cord which leads to paralysis of. Publicado en mayo 5, 2017 mayo 15, 2017 por luisgonzalez. Hangman s fracture is the traumatic injury of the neural arch. Hangman s fractures have been used to describe traumatic spondylolisthesis of c2 since it was initially noted in 1965 by schneider et al. These pathomorphological findings have to be assessed prior to treatment of hangman s fracture using dynamic xray and mri hangman fracture.
Hangmans fracture is a fracture of the axis in the cervical region. It is often seen with people who try to hang themselves but also occurs in sports or traffic accidents. Presentations ppt, key, pdf logging in or signing up. The fracture is caused by an extreme force on the upper vertebrae and especially on the dens of the axis.
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