Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Unstable hangman's fractures

R W Bucholz

    Clinical Orthopaedics and Related Research
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Hangman's fractures, a type of axis fracture, are common fatal cervical spine injuries in multiple trauma victims. Many of these unstable fractures involve significant ligamentous damage and spinal cord injury.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Three-dimensional collagen gel culture promotes osteoblastic phenotype in bone marrow derived cells.

    The Kobe journal of medical sciences·2000
    Same author

    Effect of recombinant human bone morphogenetic protein-2 on fracture healing in a goat tibial fracture model.

    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research·1998
    Same author

    Polyglycolide bioabsorbable screws in the treatment of ankle fractures.

    Foot & ankle international·1997
    Same author

    Orthopedic surgery.

    JAMA·1996
    Same author

    Fixation with bioabsorbable screws for the treatment of fractures of the ankle.

    The Journal of bone and joint surgery. American volume·1994
    Same author

    Exstrophy of the bladder: primary closure after iliac osteotomies without external or internal fixation.

    The Journal of urology·1992
    Same journal

    Which Factors Are Associated With Death, Local Recurrence, and Perioperative Complications After En Bloc Resection for Primary Malignant Tumors of the Mobile Spine?

    Clinical orthopaedics and related research·2026
    Same journal

    Impact Microindentation Evaluates Bone Strength, Bone Quality, and Fracture Susceptibility Across Skeletal Sites: A Cadaver Study.

    Clinical orthopaedics and related research·2026
    Same journal

    What Is the Effect of Robot Reduction in Displaced Pelvic Fractures? A Multicenter Randomized Clinical Trial.

    Clinical orthopaedics and related research·2026
    Same journal

    CORR Insights®: Acute or Delayed TKA for Tibial Plateau Fracture? An Observational Study From the Swedish Arthroplasty Register.

    Clinical orthopaedics and related research·2026
    Same journal

    Reply to the Letter to the Editor: Guest Editorial: Recalling a Recall.

    Clinical orthopaedics and related research·2026
    Same journal

    Radial Head Fractures Cluster in the Anterolateral and Anteromedial Quadrants and Do Not Correlate With Coronoid Fracture Types.

    Clinical orthopaedics and related research·2026
    See all related articles

    Area of Science:

    • Forensic Pathology
    • Orthopedic Surgery
    • Trauma Surgery

    Background:

    • Cervical spine injuries are a significant concern in multiple trauma cases.
    • Understanding the patterns of these injuries is crucial for accurate diagnosis and treatment.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of cervical spine injuries in multiple trauma victims.
    • To specifically examine hangman's fractures (bilateral pedicle fractures of the axis) and their associated injuries.

    Main Methods:

    • Postmortem examination of 170 multiple trauma victims.
    • Radiographic and direct inspection at autopsy to identify cervical spine fractures and dislocations.
    • Detailed dissection of spines with hangman's fractures to assess osseous and ligamentous integrity and spinal cord status.

    Related Experiment Videos

    Main Results:

    • Thirty-eight cervical spine fractures and/or dislocations were identified in 170 victims.
    • Eight victims had bilateral pedicle fractures of the axis (hangman's fractures).
    • Only atlanto-occipital dislocations were more frequent than hangman's fractures.
    • Dissections revealed variable osseous and ligamentous injuries; only two cases had intact ligaments preventing displacement.
    • Three cases showed complete upper cervical spinal cord laceration.

    Conclusions:

    • Unstable hangman's fractures are a common and fatal cervical spine injury in multiple trauma.
    • These fractures frequently involve severe ligamentous disruption and spinal cord damage, contributing to their lethality.