C2 transpedicular fixation technique in Hangman's Fracture

Abstract

Objective : Traumatic spondylolisthesis of the axis, also known as hangman fractures, all cervical it accounts for 4-7% of all traumas and is the second most common axis after odontoid fractures. trauma. There are unstable fractures and the treatment options are immobilization with halo or surgery. is stabilization. By most authors, it is primarily associated with halo in patients with Type 1 and Type 2 fractures.Although external fixation and immobilization are recommended, halon is a difficult orthosis to use. Because of this, segmental motion sparing surgery provides rapid recovery in suitable patients may be an option. In the case we presented, the treatment approach in Hangman's fractures was reviewed in the literature. has been reviewed and discussed. Clinical Presentation: Our case, after AITC, with Levin Edwards Type 1A Hangman fracture, A 40-year-old female patient with no neurological deficits. The patient does not prefer to use a halo orthosis C2 transpedicular surgery was performed with a lag screw for motion-sparing surgery to a young patient fixation is planned. Technique: C2 transpedicular lag screw was applied to the patient with intraoperative fluoroscopy. Conclusion: C2 transpedicular fixation with Lag screw, according to posterior segmental stabilization a more minimally invasive and motion-sparing surgery, faster recovery time may be preferred to traditional posterior stabilization methods in selected patient groups due to The patient who did not prefer the use of orthoses due to the social disadvantages of immobilization with Halo it is a quick and cost-effective surgical option in groups with a rapid recovery time.