Percutaneous Fixation of Levine-Edwards Type II Hangman's Fractures Under the Guidance of an Orthopedic Robot

There is no consensus regarding the optimal treatment for unstable hangman's fractures. Conservative treatment, although time-consuming and associated with complications such as nonunion, neck stiffness, and pseudarthrosis formation, is still preferred by many surgeons. With the development of minimally invasive techniques, surgical treatment is trending in recent years. We have proposed a minimally invasive, robot-assisted technique for the treatment of Levine-Edwards (L-E) type II hangman's fractures; this could improve the patients' quality of life. Five patients with L-E type II hangman's fractures were treated operatively initially. After closed reduction, the C2 pedicle screws were inserted percutaneously with the guidance of the orthopedic surgical robot. The positions of pedicle screws were verified by intraoperative 3-dimensional C-arm fluoroscopy. Regular follow-ups were performed to evaluate the radiological and functional outcomes. Postoperatively, all the fractures have healed with an average healing time of 3.5 months, the functional outcomes were satisfactory at last follow-up, and there was no neurovascular injury associated with this technique. The 3D-fluoroscopy-based, robot-assisted C2 pedicle screw fixation is a safe, precise, and feasible method for the initial treatment of L-E type II hangman's fractures. [Orthopedics. 2023;46(1):59-63.].