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Average 3. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Traumatic Spondylolisthesis of Axis Hangman's Fracture. Derek Moore. Please rate topic. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?
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Cancel Save. Introduction pagebreak. Symptoms neck pain Physical exam patients are usually neurologically intact. Type I. Type II. Hyperextension and axial load followed by rebound flexion. Type IIA. No horizontal displacement Horizontal fracture line Significant angulation.
Type III. Type I fracture with associated bilateral C facet dislocation Rare injury pattern. Surgical reduction of facet dislocation followed by stabilization required.
Traumatic Spondylolisthesis of Axis (Hangman's Fracture)
These images are a random sampling from a Bing search on the term "Cervical Spine Fracture. Search Bing for all related images. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences.
Become a Radiopaedia Supporter and go Ad-Free. Young female in a road traffic accident whilst under the influence of alcohol. Neurologically stable. Bilateral pars interarticularis fractures of C2 vertebra. The right parsinterarticularis fracture is slightly displaced. It is typically the result of a hyperextension and distraction injury.
Hangman's fracture is the colloquial name given to a fracture of both pedicles , or pars interarticulares , of the axis vertebra C2. The injury mainly occurs from falls , usually in elderly adults, and motor accidents mainly due to impacts of high force causing extension of the neck and great axial load onto the C2 vertebra. Females accounted for The mechanism of the injury is forcible hyperextension of the head, usually with distraction of the neck.
Become a Radiopaedia Supporter and go Ad-Free. Trauma Radiology Course Over 6 hours of video. Available here. Three views of both obtained. There is a fracture through bilateral pedicles of C2 with the fracture line extending through the right foramen transversarium and right intertubercular lamina. On the left, the fracture line involves the posterior tubercle of the left transverse process.