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Updated: May 25, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Reduction of displaced Hangman's fracture by compression across crossed translaminar screws
Antonios Mammis1, Daniel S Yanni, Nikhil G Thaker
1Department of Neurological Surgery, New Jersey Medical School, UMDNJ, 90 Bergen Street, Suite 8100, Newark, New Jersey 07103, USA.
Abstract:
Hangman's fractures are fractures across the pars interarticularis of C2 with possible subluxation of C2 on C3. However, no criteria have been defined for the specific indications for surgical fixation. We describe a 30-year old man who sustained a displaced Hangman's fracture after a motor vehicle accident. The fracture was successfully reduced, in the operating room, by compression across crossed translaminar screws while lifting C1 relative to C2. Intra-operative reduction of a displaced Hangman's fracture by compression across crossed translaminar screws is safe and technically feasible.
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