Hangman Fracture Treated Using Cervical Collar: Case Report

Authors : Vaner KÖKSAL, Selim KAYACI, Selçuk COŞKUN

Pages : 127-130

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Publication Date : 2014-04-01

Article Type : Other Papers

Abstract :Introduction: As a result of hyperextension of the axis bone insert ignore into journalissuearticles values(C2);, fracture occurs in posterior elements of the same bone. It causes a forward shift of spine C3 on spine C2 insert ignore into journalissuearticles values(traumatic spondylolisthesis);. Because this mechanism is the cause of death during hanging, this name was given. In sudden braking and collisions at traffic accidents, it occurs as a result of the head hitting the windshield when the neck is in hyperextension   Case Report: A 68-year-old male patient presented to our emergency unit because of neck pain after an intravehicular traffic accident. Neurologic evaluation of the patient revealed no deficit. X-ray showed a dislocation of 2 mm due to fracture in the posterior elements at the C2 level. There was no angulation accompanying the dislocation. Based on the radiologic evaluation, the case was diagnosed with type 1 hangman’s fracture. The patient was prescribed 6-month collar use. Eventually, the fracture exhibited fusion, and the dislocation resolved.   Conclusion: In the literature, there is not much visual evidence involving such a fusion of type 1 hangman’s fracture achieved only by collar use. We presented this case because of its rarity and achievement of a positive outcome with only conservative treatment.
Keywords : Üst servikal spinal travma, aksisin travmatik spondilolistezisi, C2 C3 dislokasyon, Hangman fraktür

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