Clinical diagnosis and treatment of Hangman's fracture.
- Author:
Ze-sheng YU
1
;
Zhong-jun LIU
;
Geng-ting DANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Axis, Cervical Vertebra; injuries; Female; Follow-Up Studies; Fracture Fixation; Humans; Male; Middle Aged; Retrospective Studies; Spinal Fractures; diagnosis; surgery; Spinal Fusion; Traction; Young Adult
- From: Chinese Journal of Surgery 2003;41(4):286-288
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the mechanism of Hangman's fracture and its clinical manifestation and treatment.
METHODSTen patients with Hangman's fracture treated at our hospital from 1988 to 2001 were analysed.
RESULTPatients were injured by motor vehicle accidents (7 patients), object hitting on the head (1), and fall (1). Injuries were classified as type I (1 patient), type II (5), type IIa (2) and type III (2).
CONCLUSIONSMotor vehicle accident and fall are major causes of Hangman's fracture with neurological deficits but limited motion and neck pain. Hangman's fracture is easily diagnosed using lateral cervical X-ray and CT. Hangman's fractures of types I, II and IIa can be treated conservatively, but those of type III or spinal cord injury require surgical stabilization.
