Hangman’S Fracture With Concomitant Atlantoaxial Dislocation

Hangman’S Fracture With Concomitant Atlantoaxial Dislocation Publisher

Faghihjouybari M¹ ; Huec JCL² ; Kazemi F³ ; Sajadi K¹ ; Padeganeh T⁴ ; Abdollahzade S⁵

Show Affiliations

1. Department of Neurosurgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
2. Orthopedic and Spine Surgery Unit Tow, Bordeaux University Hospital, Bordeaux, France
3. Department of Neurosurgery, Rasoul-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
4. Department of Maxillofacial Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical â€ŽSciences, Tehran, Iran
5. Department of Neurosurgery, Shahid Rajaee Teaching Center, Qazvin University of Medical Sciences, Qazvin, Iran

Source: Iranian Journal of Neurosurgery Published:2019

Abstract

Background and Importance: Hangman’s fracture concomitant with atlantoaxial subluxation is a rare phenomenon. Herein, we reported the victim of a motor vehicle crash with traumatic spondylolisthesis of the axis and atlantoaxial rotary dislocation. Case Presentation: The patient was a 32-year-old female with the chief complaint of severe neck pain. Her neurologic examination was normal, but did reveal mild torticollis. Imaging revealed anterolisthesis of the C2 over C3 with angulation of C1/ C2 and rupture of the C2/ C3 disc, while the integrity of the transverse ligament was preserved. The patient first underwent a partial close reduction for the dislocation followed by the operation focusing on the Hangman’s fracture using a 360-degree approach. An anterior discectomy of C2/ C3 with cage and plate insertion was followed by posterior fixation using C1, C3 and C4 lateral mass screws. The one-year follow-up radiography depicted proper fusion and alignment. Conclusion: Paucity of evidence regarding simultaneous atlantoaxial dislocation and Hangman’s fracture made its management challenging. The mechanism of injury is probably hyperextension and rotation. Based on our presented case, anteroposterior fixation resulted in a satisfactory long-term outcome, both clinically and radiologically. © 2019, Guilan University of Medical Sciences. All rights reserved.

Style	Citing Format
MLA	Faghihjouybari M, et al.. "Hangman’S Fracture With Concomitant Atlantoaxial Dislocation." Iranian Journal of Neurosurgery, vol. 5, no. 1, 2019, pp. 37-42.
APA	Faghihjouybari M, Huec JCL, Kazemi F, Sajadi K, Padeganeh T, Abdollahzade S (2019). Hangman’S Fracture With Concomitant Atlantoaxial Dislocation. Iranian Journal of Neurosurgery, 5(1), 37-42.
Chicago	Faghihjouybari M, Huec JCL, Kazemi F, Sajadi K, Padeganeh T, Abdollahzade S. "Hangman’S Fracture With Concomitant Atlantoaxial Dislocation." Iranian Journal of Neurosurgery 5, no. 1 (2019): 37-42.
Harvard	Faghihjouybari M et al. (2019) 'Hangman’S Fracture With Concomitant Atlantoaxial Dislocation', Iranian Journal of Neurosurgery, 5(1), pp. 37-42.
Vancouver	Faghihjouybari M, Huec JCL, Kazemi F, Sajadi K, Padeganeh T, Abdollahzade S. Hangman’S Fracture With Concomitant Atlantoaxial Dislocation. Iranian Journal of Neurosurgery. 2019;5(1):37-42.
BibTex	@article{ author = {Faghihjouybari M and Huec JCL and Kazemi F and Sajadi K and Padeganeh T and Abdollahzade S}, title = {Hangman’S Fracture With Concomitant Atlantoaxial Dislocation}, journal = {Iranian Journal of Neurosurgery}, volume = {5}, number = {1}, pages = {37-42}, year = {2019} }
RIS	TY - JOUR AU - Faghihjouybari M AU - Huec JCL AU - Kazemi F AU - Sajadi K AU - Padeganeh T AU - Abdollahzade S TI - Hangman’S Fracture With Concomitant Atlantoaxial Dislocation JO - Iranian Journal of Neurosurgery VL - 5 IS - 1 SP - 37 EP - 42 PY - 2019 ER -

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