One‑stage posterior C2 and C3 pedicle screw fixation or combined anterior C2‑C3 fusion for the treatment of unstable hangman's fracture

Liu,Jingchen; Li,Ye; Wu,Yuntao

doi:10.3892/etm.2013.898

One‑stage posterior C2 and C3 pedicle screw fixation or combined anterior C2‑C3 fusion for the treatment of unstable hangman's fracture

Authors:
- Jingchen Liu
- Ye Li
- Yuntao Wu
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Affiliations: Department of Spine Surgery, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China
Published online on: January 16, 2013 https://doi.org/10.3892/etm.2013.898
Pages: 667-672

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Abstract

The present study aimed to evaluate the effect of using one‑stage posterior C2 and C3 pedicle screw fixation or combined anterior C2‑C3 fusion in the treatment of unstable hangman's fracture. A total of 13 patients with unstable hangman's fractures underwent C2 and C3 pedicle screw fixation, lamina interbody fusion or combined anterior C2‑C3 fusion and imaging examinations to evaluate the fracture fixation and healing condition at three days and three months following surgery. Postoperative X‑ray and computed tomography (CT) results showed high fracture reduction, good internal fixation position and reliable fracture fixation. The three‑month postoperative CT showed good vertebral fracture healing. C2 and C3 pedicle screw fixation has a good curative effect in the treatment of unstable hangman's fracture. The direct fixation of the fracture enables early ambulation by the patients.

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