{"id":"587f5efc-9fdf-4f7e-b28e-5d5634da092e","slug":"hangmans-fracture-surgical-management-with-posterior-c2-4-fusion-case-description-and-literature-review","title":"Hangman’s fracture surgical management with posterior C2-4 fusion: Case description and literature review","authors":["A. Ceja-Espinosa","R. Huato-Reyes","R. Ortega-Valencia"],"abstract":"Background: Hangman's fractures of the C2 verebrae represent approximately 20% of all cervical fractures. They are challenging cases and there is still no consensus regarding the optimal surgical vs nonoperative treatment. Case Description: A 40-year-old female presented with a C2 bilateral pars articularis fracture. She exhibited a partial spastic quadriparesis. Computed tomography and magnetic resonance imaging showed a C2 “hangman's” fracture with compromise of the C2-3 intervertebral disk. Adequate reduction of the fracture and subaxial stabilization were achieved utilizing C2 transarticular and C3-4 transfacet screws. Conclusions: The optimal management of unstable hangman's fractures remains controversial. They represent challenging cases, and new treatment options are available. Here, we successfully utilized a C2 transarticular and C3-4 transfacet screw fusion without neurological sequelae.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/587f5efc-9fdf-4f7e-b28e-5d5634da092e/featured/hero-1782420858812.png","publishDate":"2018-07-26T00:00:00.000Z","doi":"10.4103/sni.sni_172_18","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/08/8940/SNI-9-147.pdf"}