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Spine
intermediate
X-Type

Hangman's Fracture (Traumatic Spondylolisthesis of C2)

Cervical Spine Trauma

A 28-year-old man presents after diving into shallow water. He has neck pain but is neurologically intact. CT of the cervical spine shows bilateral pars interarticularis fractures of C2 with 4mm of anterolisthesis of C2 on C3. There is no angulation at the C2-3 disc space. MRI shows no disc herniation and an intact posterior longitudinal ligament. Regarding hangman's fracture:

Mark each as TRUE or FALSE

A

Hangman's fracture is a bilateral fracture through the pars interarticularis (isthmus) of C2, causin...

B

Levine-Edwards classification: Type I (less than 3mm translation, no angulation, stable, treat in ri...

C

Hangman's fracture is a unilateral pars fracture; the mechanism is pure flexion; neurological injury...

D

Type I fractures have intact C2-3 disc and ligaments, are stable, and are treated with 8-12 weeks of...

E

Type IIA fractures are unique in that they result from flexion-distraction (not extension) and shoul...

Answer the questions to see explanations

Click T (True) or F (False) for each option