Anterior Fusion Combined with Posterior Sublaminar Wire Fixation for the Treatment of Unstable Hangman's Fracture
Rieva Ermawan, Bintang Soetjahjo, Rhyan Darma Saputra, Ibnu Yudistiro, Yosafat Arief
Asian Journal of Orthopaedic Research · pp. 267–272 · Published 25 Sep 2021
Abstract
Aims: To report the management strategies and surgical treatment for unstable hangman’s fractures. Study Design: Case report study. Place and Duration of Study: Dr. Moewardi Hospital, Surakarta in 2021. Presentation of the Case: A 22-year-old female with multiple injuries following a motor vehicle accident. The patient was diagnosed with unstable hangman’s fracture, multiple fractures of left costae, and left hemothorax. The patient was treated by surgical treatment using a combination of anterior fusion and posterior sublaminar wire fixation for cervical fracture, conservative for costae fractures, and intercostal drainage for left hemothorax. Results: The patient recovered well after the surgery, with a good clinical outcome and a satisfactory radiograph result. Conclusion: Anterior fusion of C2-3 combined with posterior sublaminar wire fixation of C1-2 is effective in the treatment of unstable Hangman’s fracture.
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