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[Clinical diagnosis and treatment of Hangman's fracture]
Ze-sheng Yu1, Zhong-jun Liu, Geng-ting Dang
1Department of Orthopaedics, Third Teaching Hospital of Peking University, Beijing 100083, China.
Objective:
To investigate the mechanism of Hangman's fracture and its clinical manifestation and treatment.
Methods:
Ten patients with Hangman's fracture treated at our hospital from 1988 to 2001 were analysed.
Result:
Patients were injured by motor vehicle accidents (7 patients), object hitting on the head (1), and fall (1). Injuries were classified as type I (1 patient), type II (5), type IIa (2) and type III (2).
Conclusions:
Motor vehicle accident and fall are major causes of Hangman's fracture with neurological deficits but limited motion and neck pain. Hangman's fracture is easily diagnosed using lateral cervical X-ray and CT. Hangman's fractures of types I, II and IIa can be treated conservatively, but those of type III or spinal cord injury require surgical stabilization.
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