Anterior Fusion Combined with Posterior Sublaminar Wire Fixation for the Treatment of Unstable Hangman's Fracture
Published: 2021-09-25
Page: 267-272
Issue: 2021 - Volume 4 [Issue 2]
Rieva Ermawan
Departement of Orthopaedic & Traumatology, Faculty of Medicine, Sebelas Maret University, Indonesia and Departement of Orthopaedic & Traumatology, Moewardi Hospital, Surakarta, Indonesia.
Bintang Soetjahjo
Departement of Orthopaedic & Traumatology, Faculty of Medicine, Sebelas Maret University, Indonesia and Departement of Orthopaedic & Traumatology, Moewardi Hospital, Surakarta, Indonesia.
Rhyan Darma Saputra
Departement of Orthopaedic & Traumatology, Faculty of Medicine, Sebelas Maret University, Indonesia and Departement of Orthopaedic & Traumatology, Moewardi Hospital, Surakarta, Indonesia.
Ibnu Yudistiro *
Faculty of Medicine, Sebelas Maret University, Indonesia.
Yosafat Arief
Faculty of Medicine, Sebelas Maret University, Indonesia.
*Author to whom correspondence should be addressed.
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.
Keywords: Hangman’s fracture, type III, surgery