Type-III Hangman's fracture combined with serious cerebrovascular injury after near-hanging: a first case report and review of the literature
Language English Country England, Great Britain Media print-electronic
Document type Review, Case Reports, Journal Article
- Keywords
- Hangman’s fracture, carotid dissection, cervical spine injury, near-hanging, spine,
- MeSH
- Spinal Fractures * complications diagnostic imaging surgery MeSH
- Spinal Fusion * MeSH
- Cervical Vertebrae diagnostic imaging surgery injuries MeSH
- Humans MeSH
- Neck Injuries * MeSH
- Fracture Fixation, Internal MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Review MeSH
Cervical fractures are rare after non-judicial hangings. Type-III Hangman's fracture (HF) is an unstable injury caused typically by motor vehicle accidents or falls. We describe the first reported case of a Type-III HF combined with occlusion of the right vertebral artery and non-occlusive dissection of both internal carotid arteries caused by near-hanging. We performed a posterior approach open reduction of dislocated C2 facets and C1 to C3 fusion. Carotid dissections were managed conservatively with long-term antiplatelet therapy. The patient survived without any neurological deficit and without any significant restriction of cervical motion.
Department of ENT Cumberland Infirmary North Cumbria University Hospitals NHS Trust Carlisle UK
Regional Centre of Neurology and Neurosurgery Uzhgorod Ukraine
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