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Lag Pedicle Screw Fixation Technique for Hangman’s Fracture

Year 2021, Volume: 2 Issue: 1, 12 - 14, 03.07.2021

Abstract

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.

References

  • 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. 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. 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. 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. 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. 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. 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. 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
  • 9. Naderi S, Arman C, Guvencer M, Korman E, Senoglu M, Tetik S, et al . An anatomical study of the C-2 pedicle. J Neurosurg Spine 2004;1:306-10
  • 10. Dalbayrak S, Yılmaz M, Firidin M, Naderi S. Traumatic spondylolisthesis of the axis treated with direct c2 pars screw. Turk Neurosurg 2009;19:163-7 PMID: 19431128
  • 11. Hakato J, Wrofski J. Operative treatment of hangman's fractures of C2. Posterior direct pars screw repair or anterior plate-cage stabilization? Neurol Neurochir Pol 2008;42:28-36 PMID: 18365960
  • 12. Müller EJ, Wick M, Muhr G. Traumatic spondylolisthesis of the axis: treatment rationale based on the stability of the different fracture types. Eur Spine J. 2000;9:123–8 doi: 10.1007/s005860050222.
  • 13. ElMiligui Y, Koptan W, Emran I. Transpedicular screw fixation for type II Hangman’s fracture: a motion preserving procedure. Eur Spine J. 2010;19:1299–305 DOI: 10.1007/s00586-010-1401-2
  • 14. Borne GM, Bedou GL, Pinaudeau M. Treatment of pedicular fractures of the axis. J Neurosurg. 1984;60:88–93 https://doi.org/10.3171/jns.1984.60.1.0088
Year 2021, Volume: 2 Issue: 1, 12 - 14, 03.07.2021

Abstract

References

  • 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. 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. 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. 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. 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. 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. 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. 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
  • 9. Naderi S, Arman C, Guvencer M, Korman E, Senoglu M, Tetik S, et al . An anatomical study of the C-2 pedicle. J Neurosurg Spine 2004;1:306-10
  • 10. Dalbayrak S, Yılmaz M, Firidin M, Naderi S. Traumatic spondylolisthesis of the axis treated with direct c2 pars screw. Turk Neurosurg 2009;19:163-7 PMID: 19431128
  • 11. Hakato J, Wrofski J. Operative treatment of hangman's fractures of C2. Posterior direct pars screw repair or anterior plate-cage stabilization? Neurol Neurochir Pol 2008;42:28-36 PMID: 18365960
  • 12. Müller EJ, Wick M, Muhr G. Traumatic spondylolisthesis of the axis: treatment rationale based on the stability of the different fracture types. Eur Spine J. 2000;9:123–8 doi: 10.1007/s005860050222.
  • 13. ElMiligui Y, Koptan W, Emran I. Transpedicular screw fixation for type II Hangman’s fracture: a motion preserving procedure. Eur Spine J. 2010;19:1299–305 DOI: 10.1007/s00586-010-1401-2
  • 14. Borne GM, Bedou GL, Pinaudeau M. Treatment of pedicular fractures of the axis. J Neurosurg. 1984;60:88–93 https://doi.org/10.3171/jns.1984.60.1.0088
There are 14 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Densel Araç 0000-0003-0616-8835

Fatih Keskin 0000-0001-9398-8908

Mehmet Erdi 0000-0003-3621-6658

Yaşar Karataş 0000-0003-3163-2345

Publication Date July 3, 2021
Submission Date January 14, 2021
Acceptance Date February 15, 2021
Published in Issue Year 2021 Volume: 2 Issue: 1

Cite

APA Araç, D., Keskin, F., Erdi, M., Karataş, Y. (2021). Lag Pedicle Screw Fixation Technique for Hangman’s Fracture. Aksaray Üniversitesi Tıp Bilimleri Dergisi, 2(1), 12-14.
AMA Araç D, Keskin F, Erdi M, Karataş Y. Lag Pedicle Screw Fixation Technique for Hangman’s Fracture. asujms. July 2021;2(1):12-14.
Chicago Araç, Densel, Fatih Keskin, Mehmet Erdi, and Yaşar Karataş. “Lag Pedicle Screw Fixation Technique for Hangman’s Fracture”. Aksaray Üniversitesi Tıp Bilimleri Dergisi 2, no. 1 (July 2021): 12-14.
EndNote Araç D, Keskin F, Erdi M, Karataş Y (July 1, 2021) Lag Pedicle Screw Fixation Technique for Hangman’s Fracture. Aksaray Üniversitesi Tıp Bilimleri Dergisi 2 1 12–14.
IEEE D. Araç, F. Keskin, M. Erdi, and Y. Karataş, “Lag Pedicle Screw Fixation Technique for Hangman’s Fracture”, asujms, vol. 2, no. 1, pp. 12–14, 2021.
ISNAD Araç, Densel et al. “Lag Pedicle Screw Fixation Technique for Hangman’s Fracture”. Aksaray Üniversitesi Tıp Bilimleri Dergisi 2/1 (July 2021), 12-14.
JAMA Araç D, Keskin F, Erdi M, Karataş Y. Lag Pedicle Screw Fixation Technique for Hangman’s Fracture. asujms. 2021;2:12–14.
MLA Araç, Densel et al. “Lag Pedicle Screw Fixation Technique for Hangman’s Fracture”. Aksaray Üniversitesi Tıp Bilimleri Dergisi, vol. 2, no. 1, 2021, pp. 12-14.
Vancouver Araç D, Keskin F, Erdi M, Karataş Y. Lag Pedicle Screw Fixation Technique for Hangman’s Fracture. asujms. 2021;2(1):12-4.