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Fractures of the Posterior Arch

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The Axis Vertebra

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Abstract

Fractures of the posterior arch of the axis vertebra may include the pedicles (unilateral or bilateral) or the spinous process; the latter are uncommon, do not cause any serious complications and are associated with an uneventful outcome. Of greater importance are the fractures occurring at the anatomic area of the pars interarticular. In such cases, one has to deal with a traumatic spondylolisthesis, a serious injury frequently seen in the emergency rooms. For this type of injury, instead of hangman’s fracture, we prefer to use the term traumatic spondylolisthesis of the axis.

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References

  1. Haughton S (1866) On hanging considered from a mechanical and physiological point of view. London, Edinburg and Dublin philosophical magazine and journal of science 4th series 1866 32:23–34

    Google Scholar 

  2. Garber JN (1964) Abnormalities of the atlas and axis vertebra—congenital and traumatic. J Bone Jt Surg Am 46-Á:1782–1791

    Google Scholar 

  3. Francis W, Fielding W, Hawkins R, Pepin J, Hensinger R (1981) Traumatic spondylolisthesis of the axis. J Bone Jt Surg Br 63-B:313–318

    Google Scholar 

  4. Effendi B, Roy D, Cornish B, Dussault RG, Laurin CA. (1981) Fractures of the ring of the axis. A classification based on the analysis of 131 cases. J Bone Jt Surg Br 63-B:319–327

    Google Scholar 

  5. Levine Α, Edwards C (1985) The management of traumatic Spondylolisthesis of the axis. J Bone Jt Surg Am 67:217–226

    CAS  Google Scholar 

  6. Junge A, El-Sheik M, Celik I, Gotzen L (2002) Pathomorphology, diagnosis and treatment of “hangman’s fractures”. Unfallchirurg 105:775–782

    Article  CAS  PubMed  Google Scholar 

  7. Moon MS, Moon JL, Moon YW, Sun DH, Choi WT (2001) Traumatic spondylolisthesis of the axis: forty two cases. Bull Hosp Jt Dis 60:61–66

    PubMed  Google Scholar 

  8. Morel E, Ilharreborde B, Zadegan F, Rillardon L, Guigui P (2009) An unusual hangman’s fracture: description and surgical management. Orthop Traumatol Surg Res 95(3):229–233

    Article  CAS  PubMed  Google Scholar 

  9. Korres DS (1999) The cervical spine. Traumatology and pathology. By Litsas Medical Editions. Athens

    Google Scholar 

  10. Samaha C, Laennec JY, Laport C, Saillant G. (2000) Hangman’s fracture: The relationship between asymmetry and instability. J Bone Joint Surg Br 82:1046–1052

    Google Scholar 

  11. White HI, Panjabi M (1990) Clinical biomechanics of spine. In: Lippincott (ed) Spine injuries. Philadelphia, 146.154

    Google Scholar 

  12. Roy-Camille R, Bleunie JF, Saillant G, Judet T (1979) Fractures de l’odontoïde associée à une fracture des pédicules de l’axis. Rev Chir Orthop 65:387–391

    CAS  PubMed  Google Scholar 

  13. Coric D, Wilson JA, Kelly DL Jr (1996) Treatment of traumatic spondylolisthesis of the axis with nonrigid immobilization: a review of 64 cases. J Neurosurg 85:55–554

    Google Scholar 

  14. American Association of Neurological Surgeons (2002) Isolated Fractures of the Axis in adults. Neurosurg 50(Suppl 3):105–147

    Google Scholar 

  15. Boullosa JLR, Colli BO, Carlotti CG (2004). Surgical management of axis’ traumatic spondylolisthesis. Arq Neuropsiquiatr 62(3-B):821–826

    Google Scholar 

  16. Barros TE, Bohlaman HH, Capen DA, Cotler J, Dons K, Bierring-Sorensen F, Marchesi DG, Zigler JE (1999) Traumatic spondylolisthesis of the axis: analysis of Management. Spinal Cord 37:166–171

    Google Scholar 

  17. Tuite GF, Papadopoulos SM, Sonntag VK (1992) Gaspar plate fixation for the treatment of complex hangman’s fractures. Neurosurgery 30(5):761–764

    Article  CAS  PubMed  Google Scholar 

  18. Brooks AL, Jenkins EB (1978) Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg 60-A(3):279–284

    Google Scholar 

  19. Harms J, Melcher RP (2001) Posterior C1–C2 fusion with polyaxial screw and rod fixation. Spine 26:2467–2471

    Article  CAS  PubMed  Google Scholar 

  20. Ying Z, Yuan W, Wang X et al (2008) Anterior cervical discectomy and fusion for unstable traumatic spondylolisthesis of the axis. Spine 33(3):255–258

    Article  PubMed  Google Scholar 

  21. Sugimoto Y, Ito Y, Shimokawa T, Shiozaki Y, Mazaki T (2010) Percutaneous screw fixation for traumatic spondylolisthesis of the axis using iso-C3D fluoroscopy- assisted navigation (case report). Minim Invasive Neurosurg 53(2):83–85

    Article  CAS  PubMed  Google Scholar 

  22. Barnechi G (2008) Traumatologia vertebrale. Chap7: fratture dell’ epistrofeo pp 127–162

    Google Scholar 

  23. Tian W, Weng C, Liu B et al (2011) Posterior fixation and fusion of unstable hangman fracture by using intraoperative three-dimensional fluoroscopy-based Navigation. Eur Spine J (online, November 2011)

    Google Scholar 

  24. Muller EJ, Wick M, Muhr G (2000) Traumatic spondylolisthesis of the Axis: Treatment rationale based on the stability of the different fracture types. Eur Spine J 9:123–128

    Article  CAS  PubMed  Google Scholar 

  25. Ranieri A, Domenicucci M, Landi A, Rastelli E, Raco A (2011) Conservative treatment of neural arch fractures of the axis: computed tomography scan and x-ray study on consolidation time. World Neurosurg 75(2):314–319

    Article  Google Scholar 

  26. Cornish L (1968) Traumatic spondylolisthesis of the axis. J Bone Jt Surg Br 50:31–43

    CAS  Google Scholar 

  27. Mestdagh H, Letendart J, Sensey JJ, Duquennoy A (1984) Treatment of fractures of the posterior axial arch. Results of 41 cases. Rev Chir Orthop Reparatrice Appar Mot 70:21–28

    CAS  PubMed  Google Scholar 

  28. Grady MS, Howard MA, Jane JA, Persing JA (1986) Use of the Philadelphia collar as an alternative to the halo vest in patients with C-2, C-3 fractures. Neurosurgery 18:151–156

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. 3rd Orthopaedic Department, KAT Hospital, University of Athens, Heyden 10, 10434, Athens, Attika, Greece

    Demetrios S. Korres

  2. 3rd Orthopaedic Department, KAT Hospital, University of Athens, Zafeiriou 4, 17122, Nea Smyrni, Attika, Greece

    Efstratios Kavroudakis

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  1. Efstratios Kavroudakis
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  2. Demetrios S. Korres
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Correspondence to Demetrios S. Korres .

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  1. Heyden Street 10, ATHENS, 10434, Greece

    Demetrios S. Korres

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Kavroudakis, E., Korres, D.S. (2013). Fractures of the Posterior Arch. In: Korres, D. (eds) The Axis Vertebra. Springer, Milano. https://doi.org/10.1007/978-88-470-5232-1_8

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  • DOI: https://doi.org/10.1007/978-88-470-5232-1_8

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5231-4

  • Online ISBN: 978-88-470-5232-1

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