Abstract
This injury refers to a fracture of both pedicles or pars inter-articularis of the axis vertebra (C2). Apart from hangings, the mechanism of injury – a sudden forceful hyperextension centred just under the chin – occurs mainly with deceleration injuries in which the victim’s face or chin strike an unyielding object with the neck in extension. The most recent and most useful classification is the four types classification proposed by Levine and Edwards, which is essentially a modification of Effendi and associates three types classification.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Effendi B, Roy D, Cornish B, Dussault RG, Laurin CA. Fractures of the ring of the axis. A classification based on the analysis of 131 cases. J Bone Joint Surg Br. 1981;63(B-3):319–27.
Levine AM, Edwards CC. The management of traumatic spondylolisthesis of the axis. J Bone Joint Surg Am. 1985;67(2):217–26.
Wang MY. Cervical crossing laminar screws: early clinical results and complications. Neurosurgery. 2007;61(5 Suppl 2):311–5; discussion 5–6.
Ying Z, Wen Y, Xinwei W, Yong T, Hongyu L, Zhu H, Qinggang Z, Weihong Z, Yonggeng C. Anterior cervical discectomy and fusion for unstable traumatic spondylolisthesis of the axis. Spine (Phila Pa 1976). 2008;33(3):255–8.
Isolated fractures of the axis in adults. Neurosurgery. 2002;50(3 Suppl):S125–39.
Li XF, Dai LY, Lu H, Chen XD. A systematic review of the management of hangman’s fractures. Eur Spine J. 2006;15(3):257–69.
Pryputniewicz DM, Hadley MN. Axis fractures. Neurosurgery. 2010;66(3 Suppl):68–82.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag London
About this chapter
Cite this chapter
Pneumaticos, S.G., Triantafyllopoulos, G.K. (2015). Traumatic Spondylolisthesis of the Axis (Hangman’s Fracture). In: Lasanianos, N., Kanakaris, N., Giannoudis, P. (eds) Trauma and Orthopaedic Classifications. Springer, London. https://doi.org/10.1007/978-1-4471-6572-9_45
Download citation
DOI: https://doi.org/10.1007/978-1-4471-6572-9_45
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-6571-2
Online ISBN: 978-1-4471-6572-9
eBook Packages: MedicineMedicine (R0)