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Pediatric Hangman's Fracture: A Comprehensive Review
Michael Montalbano1, Christian Fisahn, Marios Loukas
1Department of Anatomical Sciences, St. George's University, St. George's, Grenada.
Hangman's fracture, or traumatic spondylolisthesis of the axis, is often described in adults. This review highlights pediatric cases, noting diagnostic challenges due to developmental differences in children.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Spinal Surgery
Background:
- Traumatic spondylolisthesis of the axis, commonly known as hangman's fracture, was first described over 170 years ago.
- Existing literature predominantly focuses on adult presentations of this spinal injury.
Purpose of the Study:
- To review the literature on pediatric cases of hangman's fracture.
- To emphasize embryological and presentation aspects specific to children.
Main Methods:
- Literature review of pediatric hangman's fracture cases.
- Analysis of embryological development and clinical presentations.
Main Results:
- Cervical spine fractures in children most frequently involve the C1 and C2 vertebrae.
- Normal anterolisthesis of C2 in young children can mimic traumatic spondylolisthesis.
Conclusions:
- Pediatric traumatic spondylolisthesis of the axis warrants further investigation.
- Diagnostic challenges arise from the developmental immaturity of the pediatric skeleton and the focus on adult findings.
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