Diagnosis and surgical management of Hangman's fracture combined with intervertebral disc injury.
- Author:
Xiong-Sheng CHEN
1
;
Lian-Shun JIA
;
Shi-Feng CAO
;
Xiao-Jian YE
;
Bin NI
;
De-Yu CHEN
;
Xu-Hui ZHOU
;
Jian-Ru XIAO
;
Wen YUAN
;
Jun TAN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Axis, Cervical Vertebra; Bone Transplantation; methods; Cervical Vertebrae; injuries; surgery; Diskectomy; methods; Female; Follow-Up Studies; Humans; Intervertebral Disc; injuries; surgery; Male; Middle Aged; Spinal Fractures; complications; diagnosis; surgery; Spinal Fusion; methods; Traction; Treatment Outcome
- From: Chinese Journal of Surgery 2004;42(12):712-715
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the pathology characteristics and management of Hangman's fracture combined with intervertebral disc injury.
METHODSTwenty-one patients suffered from this special injury were converged in this study. All patients underwent anterior C(2 - 3) discectomy and fusion, 18 cases were fixed by anterior cervical plate. The type of fractures, radiology characteristics, and clinical outcomes were investigated.
RESULTSNo graft displacement or absorption, infection and neurologic deterioration occurred. All fresh dislocation of axis and C(2 - 3) angulation were corrected. Fusion of C(2 - 3) intervertebral space and pedicle fracture were acquired in all of the patients. After a mean follow-up of 31 months, ranging from 8 to 48 months, nearly all of the complains disappeared after operation.
CONCLUSIONSHangman's fracture is not restricted at pedicle of the axis. Fracture combined with intervertebral disc injury is a special type of Hangman's fracture. Anterior discectomy and fusion of C(2 - 3) intervertebral disc is an effective operation method in accord with the pathophysiology of this special injury.
