Hangman's fracture - Revision history

Rossdonaldson1: /* Background */

2021-01-12T20:04:09Z

Background

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	==Background==		==Background==
	*Also known as traumatic spondylolisthesis		*Also known as traumatic spondylolisthesis
	*Is an [[unstable spine fractures\|unstable spine injury]]		*Is an [[unstable spine fractures\|<u>unstable</u> spine injury]]
	*Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3)		*Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3)

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Prehospital Immobilization

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	==Management==		==Management==
	===Prehospital Immobilization===		===Prehospital Immobilization===
	See [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]		*See [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]

	===Hospital===		===Hospital===

2021-01-12T20:02:40Z

Hospital

← Older revision		Revision as of 20:02, 12 January 2021
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	===Hospital===		===Hospital===
			*C-collar
	*Consult ortho or neurosurgery		*Consult ortho or neurosurgery
	**External fixation via rigid cervical orthosis or halo-vest orthosis 8-14 weeks (~90% healing with immobilization alone) <ref>Coric D, Wilson JA, Kelly DL Jr. Treatment of traumatic spondylolisthesis of the axis with nonrigid immobilization: a review of 64 cases. J Neurosurg. 1996 Oct;85(4):550-4. doi: 10.3171/jns.1996.85.4.0550. Erratum in: J Neurosurg. 1996 Dec;85(6):1198. PMID: 8814154.</ref>		**External fixation via rigid cervical orthosis or halo-vest orthosis 8-14 weeks (~90% healing with immobilization alone) <ref>Coric D, Wilson JA, Kelly DL Jr. Treatment of traumatic spondylolisthesis of the axis with nonrigid immobilization: a review of 64 cases. J Neurosurg. 1996 Oct;85(4):550-4. doi: 10.3171/jns.1996.85.4.0550. Erratum in: J Neurosurg. 1996 Dec;85(6):1198. PMID: 8814154.</ref>

2020-12-18T21:09:25Z

Hospital

← Older revision		Revision as of 21:09, 18 December 2020
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	===Hospital===		===Hospital===
	~~{{Unstable~~ cervical ~~spine fracture management}}~~		*Consult ortho or neurosurgery
			**External fixation via rigid cervical orthosis or halo-vest orthosis 8-14 weeks (~90% healing with immobilization alone) <ref>Coric D, Wilson JA, Kelly DL Jr. Treatment of traumatic spondylolisthesis of the axis with nonrigid immobilization: a review of 64 cases. J Neurosurg. 1996 Oct;85(4):550-4. doi: 10.3171/jns.1996.85.4.0550. Erratum in: J Neurosurg. 1996 Dec;85(6):1198. PMID: 8814154.</ref>
			**Surgical fixation, especially if there is:<ref>Murphy H, Schroeder GD, Shi WJ, Kepler CK, Kurd MF, Fleischman AN, Kandziora F, Chapman JR, Benneker LM, Vaccaro AR. Management of Hangman's Fractures: A Systematic Review. J Orthop Trauma. 2017 Sep;31 Suppl 4:S90-S95. doi: 10.1097/BOT.0000000000000952. PMID: 28816880.</ref>
			***Severe angulation of C2 on C3
			***Disruption of C2 to C3 disc space
			***Inability to establish or maintain alignment with external immobilization
			***Nonunion after use of external immobilization

	==Disposition==		==Disposition==

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Evaluation

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Differential Diagnosis

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← Older revision		Revision as of 13:11, 24 October 2020
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	*Is an [[unstable spine fractures\|unstable spine injury]]		*Is an [[unstable spine fractures\|unstable spine injury]]
	*Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3)		*Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3)

			{{Vertebral fractures and dislocations types}}

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~{{Cervical spine injuries}}~~

	==Evaluation==		==Evaluation==

2016-07-25T07:03:40Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-03-22T15:46:49Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"