Management of hangman’s fracture with percutaneous transpedicular screw fixation

Wu, Yaosen; Lin, Yan; Zhang, Xiaolei; Tian, Naifeng; Lee, Sun; Xu, Huazi; Chi, Yong-Long; Pan, Zhijun

doi:10.1007/s00586-012-2578-3

Cited by 21 publications

(19 citation statements)

References 26 publications

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“…The percutaneous technique presented here seems to be equally safe and effective as the open procedures previously reported, without the pedicle wall perforation rate of 15% associated with the percutaneous approach reported by Wu et al 32 We again highlight the value of intraoperative CT imaging and neuronavigation in this procedure. As mentioned, fracture alignment as seen on CT images may change due to differences in preoperative to intraoperative patient position.…”

Section: Discussionsupporting

confidence: 68%

“…Wu et al 32 reported the use of percutaneous transpedicular screw fixation for hangman's fractures; they performed preoperative imaging to ascertain entry points, angles, and distances for screw fixation without the use of neuronavigation. In place of intraoperative neuronavigation, they used measurements, angles, and trajectories established from the preoperative CT scans to plot their percutaneous screw course.…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive percutaneous screw fixation of traumatic spondylolisthesis of the axis

Buchholz¹,

Morgan²,

Robinson³

et al. 2015

SPI

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OBJECT Most cases of traumatic spondylolisthesis of the axis (hangman's fracture) can be treated nonoperatively with reduction and subsequent immobilization in a rigid cervical collar or halo. However, in some instances, operative management is necessary and can be accomplished by using either anterior or posterior fusion techniques. Because open posterior procedures can result in significant blood loss, pain, and limited cervical range of motion, other less invasive options for posterior fixation are needed. The authors describe a minimally invasive, navigation-guided technique for surgical treatment of Levine-Edwards (L-E) Type II hangman's fractures. METHODS For 5 patients with L-E Type II hangman's fracture requiring operative reduction and internal fixation, percutaneous screw fixation directed through the fracture site was performed. This technique was facilitated by use of intraoperative 3D fluoroscopy and neuronavigation. RESULTS Of the 5 patients, 2 were women, 3 were men, and age range was 46–67 years. No intraoperative or postoperative complications occurred. All patients wore a rigid cervical collar, and flexion-extension radiographs were obtained at 6 months. For all patients, dynamic imaging demonstrated a stable construct. CONCLUSIONS L-E type II hangman's fractures can be safely repaired by using percutaneous minimally invasive surgical techniques. This technique may be appropriate, depending on circumstances, for all L-E Type I and II hangman's fractures; however, the degree of associated ligament injury and disc disruption must be accounted for. Percutaneous fixation is not appropriate for L-E Type III fractures because of significant displacement and ligament and disc disruption. This report is meant to serve as a feasibility study and is not meant to show superiority of this procedure over other surgical options.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Minimally invasive percutaneous screw fixation of traumatic spondylolisthesis of the axis

Buchholz¹,

Morgan²,

Robinson³

et al. 2015

SPI

View full text Add to dashboard Cite

show abstract

“…The use of percutaneous transpedicular screw fixation in the treatment of Hangman's fracture (traumatic spondylolisthesis of the axis) described by Wu et al [31] describes a useful technique. Although only ten patients are reported, and it is clear that all such fractures are suitable, modern imaging can allow this technique, and clearly there is much less morbidity.…”

Section: Fracturesmentioning

confidence: 99%

The Michel Benoist and Robert Mulholland Yearly European Spine Journal Review: a survey of the “surgical and research” articles in the European Spine Journal, 2013

Mulholland

2014

Eur Spine J

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“…Hangman's fractures account for 15% to 20% of cervical spine injuries. This fracture type was first described in individuals sentenced to death by hanging but is now more often due to seatbelt loading during traffic accidents [7,9]. The mortality rate in patients with hangman's fracture due to any cause is 7% at the most [5].…”

Section: Discussionmentioning

confidence: 99%

Hangman's fracture: Management strategy and healing rate in a prospective multi-centre observational study of 34 patients

Prost

Barrey

Blondel

et al. 2019

Orthopaedics & Traumatology: Surgery & Research

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Management of hangman’s fracture with percutaneous transpedicular screw fixation

Abstract: The fluoroscopically assisted percutaneous C2 transpedicular screw fixation method is a technically feasible and minimally invasive technique for hangman's fracture.

Cited by 21 publications

References 26 publications

Minimally invasive percutaneous screw fixation of traumatic spondylolisthesis of the axis

Minimally invasive percutaneous screw fixation of traumatic spondylolisthesis of the axis

The Michel Benoist and Robert Mulholland Yearly European Spine Journal Review: a survey of the “surgical and research” articles in the European Spine Journal, 2013

Hangman's fracture: Management strategy and healing rate in a prospective multi-centre observational study of 34 patients

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