Hangman's Fractures: A Review of Current Concepts in Evaluation and Management.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2024-11-01 Epub Date: 2024-09-24 DOI:10.1097/BSD.0000000000001694

Joshua Mizels, James W Connelly, Nicholas Spina, Brandon Lawrence, Brian A Karamian

{"title":"Hangman's Fractures: A Review of Current Concepts in Evaluation and Management.","authors":"Joshua Mizels, James W Connelly, Nicholas Spina, Brandon Lawrence, Brian A Karamian","doi":"10.1097/BSD.0000000000001694","DOIUrl":null,"url":null,"abstract":"Study design: Review article.Objective: To provide a comprehensive review and update on the evaluation and management of Hangman's fractures.Summary of background data: Hangman's fractures are the second most common fracture of the C2 vertebrae, and the prevalence is increasing with our aging population. Although these injuries are associated with good clinical outcomes and low rates of neurologic injury, they must be promptly recognized and treated according to patient and fracture factors.Methods: A review of the literature.Results: Neurologic injuries are uncommon in typical Hangman's fractures but are more of a concern in atypical Hangman's fractures due to lack of dissociation of the posterior ring of C2. The nonoperative treatment of stable type I, II, and atypical fractures with external immobilization leads to excellent long-term outcomes as does the operative treatment of unstable type IIa, III, and atypical fractures.Conclusions: Stable injury patterns can be treated with immobilization alone, whereas unstable injury patterns necessitate surgical treatment. Prompt diagnosis and treatment Hangman's fractures is paramount, and when managed properly, patients can have excellent clinical and neurologic outcomes.","PeriodicalId":10457,"journal":{"name":"Clinical Spine Surgery","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Spine Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/BSD.0000000000001694","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/24 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Study design: Review article.

Objective: To provide a comprehensive review and update on the evaluation and management of Hangman's fractures.

Summary of background data: Hangman's fractures are the second most common fracture of the C2 vertebrae, and the prevalence is increasing with our aging population. Although these injuries are associated with good clinical outcomes and low rates of neurologic injury, they must be promptly recognized and treated according to patient and fracture factors.

Methods: A review of the literature.

Results: Neurologic injuries are uncommon in typical Hangman's fractures but are more of a concern in atypical Hangman's fractures due to lack of dissociation of the posterior ring of C2. The nonoperative treatment of stable type I, II, and atypical fractures with external immobilization leads to excellent long-term outcomes as does the operative treatment of unstable type IIa, III, and atypical fractures.

Conclusions: Stable injury patterns can be treated with immobilization alone, whereas unstable injury patterns necessitate surgical treatment. Prompt diagnosis and treatment Hangman's fractures is paramount, and when managed properly, patients can have excellent clinical and neurologic outcomes.

查看原文本刊更多论文

刽子手骨折：当前评估和管理概念综述》。

研究设计综述文章：全面回顾和更新刽子手骨折的评估和管理：刽子手骨折是C2椎体第二大常见骨折，随着人口老龄化的加剧，其发病率也在不断上升。虽然这类骨折的临床疗效较好，神经损伤率较低，但必须根据患者和骨折因素及时识别和治疗：方法：回顾文献：结果：神经系统损伤在典型的杭氏骨折中并不常见，但在不典型的杭氏骨折中，由于C2后环没有分离，神经系统损伤更令人担忧。稳定型 I、II 和非典型骨折的非手术治疗和外固定可获得良好的长期疗效，不稳定型 IIa、III 和非典型骨折的手术治疗也是如此：结论：稳定型骨折只需固定即可治疗，而不稳定型骨折则需要手术治疗。及时诊断和治疗刽子手骨折至关重要，如果处理得当，患者可获得良好的临床和神经功能预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.