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The C2 fracture accounts for nearly 19% of spinal fractures [10] and 55% of cervical fractures (in patients with head injury). Within C2 fractures, the hangman's fracture accounts for 23% of occurrences while the odontoid or dens fracture accounts for 55% of them.
A cervical fracture, commonly called a broken neck, is a fracture of any of the seven cervical vertebrae in the neck. Examples of common causes in humans are traffic collisions and diving into shallow water.
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
A flexion teardrop fracture is a fracture of the anteroinferior aspect of a cervical vertebral body due to flexion of the spine along with vertical axial compression. [1] The fracture continues sagittally through the vertebral body, and is associated with deformity of the body and subluxation or dislocation of the facet joints at the injured level. [2]
The diagnosis is generally made when there is no healing between two sets of medical imaging, such as X-ray or CT scan. This is generally after 6–8 months. [1] Nonunion is a serious complication of a fracture and may occur when the fracture moves too much, has a poor blood supply or gets infected. Patients who smoke have a higher incidence of ...
Bilateral C2 pars fractures are known as a variant of the hangman's fracture. On an anterior oblique radiograph of the lumbar spine , the pars is the neck of the imaginary Scottie dog; the Scottie dog's eye is the pedicle, [ 3 ] its hindlegs the spinous process, its nose the transverse process, its ear the superior articular facet and its ...
The C2 to C7 laminae are drilled at the lateral borders of the laminae. One side of the bone is completely cut, while the other side acts as a hinge. The laminae are then lifted to increase space in the spinal canal. The flap of the laminae is kept open with a suture that is fixed to the facet capsule. [1] [5]
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury. [13]