Year 2021, Volume 3 , Issue 2, Pages 95 - 95 2021-07-01

Non-Odontoid Non-Hangman Aksis Kırığı
A Non-Odontoid Non-Hangman Axis Fracture

Serdar ÖZDEMİR [1] , Hatice AKÇA [2] , Abdullah ALGIN [3]


An 84-year-old female patient applied to the emergency service with neck pain. The patient fell lost in the bathroom. In the anamnesis of the patient, it is seen that she had diabetes mellistus, hypertension and no other history of disease. On her physical examination, the vital signs of were with in normal limits and there was tenderness on both scapula and midline tenderness on cervical vertebra. Computed tomography showed that fragmented fracture on cervical second vertebral corpus. The patient was discharged with a collar and analgesics. Axis fractures are classified into three groups. These are; odontoid fractures, hangman fractures (traumatic spondylolysis) and nonodontoid nonhangman fractures (1). Odontoid and hangman fractures are relatively common fractures of the axis (1). Our case was nonodontoid nonhangman fracture which is the rarest type of axis fractures. In our case, conservative treatment was preferred because of it was Benzel type 1 fracture and had no accompanying soft tissue injury (2).
An 84-year-old female patient applied to the emergency service with neck pain. The patient fell lost in the bathroom. In the anamnesis of the patient, it is seen that she had diabetes mellistus, hypertension and no other history of disease. On her physical examination, the vital signs of were with in normal limits and there was tenderness on both scapula and midline tenderness on cervical vertebra. Computed tomography showed that fragmented fracture on cervical second vertebral corpus. The patient was discharged with a collar and analgesics. Axis fractures are classified into three groups. These are; odontoid fractures, hangman fractures (traumatic spondylolysis) and nonodontoid nonhangman fractures (1). Odontoid and hangman fractures are relatively common fractures of the axis (1). Our case was nonodontoid nonhangman fracture which is the rarest type of axis fractures. In our case, conservative treatment was preferred because of it was Benzel type 1 fracture and had no accompanying soft tissue injury (2).
  • 1. Benzel EC, Hart BL, Ball PA, et al: Fractures of the C-2 vertebral body. J Neurosurg. 1994;81:206–12.
  • 2. Ryken TC, Hadley MN, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, et al: Management of isolated fractures of the axis in adults. J Neurosurg. 2013;72 (2):132–50.
Primary Language en
Subjects Emergency Medicine
Journal Section Image Presentation
Authors

Orcid: 0000-0002-6186-6110
Author: Serdar ÖZDEMİR (Primary Author)
Institution: University of Health Sciences, Ümraniye Training and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey
Country: Turkey


Orcid: 0000-0003-2823-9577
Author: Hatice AKÇA
Institution: İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER
Country: Turkey


Orcid: 0000-0002-9016-9701
Author: Abdullah ALGIN
Institution: İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER
Country: Turkey


Dates

Application Date : February 22, 2021
Acceptance Date : March 10, 2021
Publication Date : July 1, 2021

AMA Özdemir S , Akça H , Algın A . A Non-Odontoid Non-Hangman Axis Fracture. Phnx Med J.. 2021; 3(2): 95-95.