Research Article

Lag Pedicle Screw Fixation Technique for Hangman’s Fracture

Volume: 2 Number: 1 July 3, 2021
TR

Lag Pedicle Screw Fixation Technique for Hangman’s Fracture

Öz

Objective: We aim to evaluate the posterior peduncle lag screw technique performed in our clinic for Hangman’s fracture type 2 and 2A fractures in comparison with the literature. Method: Between 2017 and 2020, 7 patients with Hangman’s fracture were operated with the posterior C2 pedİcle lag screw method. The average age of the patients, 6 men and 1 female, was 32.6 and none of our patients had any other pathology other than cervical fracture. Results: There were no post-operative complications in 7 patients who were operated. In the 3rd month of the follow-up of all patients, ossification was observed in the fracture line. Screw malposition and malunion were not observed. Conclusion: The posterior pedicle lag screw fixation technique is a valuable technique in patients with Hangman’s fractures type 2 and 2A, as it is easy to apply, has less risk of complications, and preserves vertebral mobility.

Anahtar Kelimeler

References

  1. 1. Schneider RC, Livingston KE, Cave AJ, Hamilton G. “Hangman’s fracture” of the cervical spine. J Neurosurg 1965;22 (2):141–154 https://doi.org/10.3171/jns.1965.22.2.0141
  2. 2. M. Montalbano, C. Fisahn, M. Loukas, R. J. Oskouian, J. R. Chapman, and R. S. Tubbs, “Pediatric hangman’s fracture: a comprehensive review,” Pediatric Neurosurgery 2017;52(3): 145-150 DOI:10.1159/000455923
  3. 3. Murphy H, Schroeder GD, Shi WJ, Kepler CK, Kurd MF, Fleischman AN, et al. Management of Hangman’s fractures: a systematic review. J Orthop Trauma 2017;31:S90–5 doi: 10.1097/BOT.0000000000000952.
  4. 4. Sharpe JP, Magnotti LJ, Weinberg JA, Schroeppel TJ, Fabian TC, Croce MA. The old man and the C-spine fracture: impact of halo vest stabilization in patients with blunt cervical spine fractures. J Trauma Acute Care 2016;80:76–80 DOI: 10.1097/ta.0000000000000894
  5. 5. Ma W, Xu R, Liu J, Sun S, Zhao L, Hu Y et al. Posterior short-segment fixation and fusion in unstable Hangman’s fractures. Spine (Phila Pa 1976) 2011;36:529-533 doi: 10.1097/BRS.0b013e3181d60067.
  6. 6. Marton E, Billeci D, Carteri A. Therapeutic indications in upper cervical spine instability. Considerations on 58 cases. J Neurosurg Sci 2000;44(4):192–20 PMID: 11327288
  7. 7. Al-Mahfoudh R, Beagrie C, Woolley E, Zakaria R, Radon M, Clark S, et al. Management of typical and atypical hangman’s fractures. Global Spine J 2016; 6:248-256 doi: 10.1055/s-0035-1563404
  8. 8. Li XF, Dai LY, Lu H, Chen XD. A systematic review of the management of hangman’s fractures. Eur Spine J 2006;15: 257-269 DOI: 10.1007/s00586-005-0918-2

Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Publication Date

July 3, 2021

Submission Date

January 14, 2021

Acceptance Date

February 15, 2021

Published in Issue

Year 2021 Volume: 2 Number: 1