Traumatic Spondylolisthesis of Axis (Hangman's Fracture)

Posted: Apr 22 2016 #(C2572)

Traumatic Spondylolisthesis of Axis (Hangman's Fracture) in 61M

}

HPI

A 61-year-old male presents after a 30-foot fall while he was intoxicated. He was found to have several lacerations and abrasions on his arms, legs, and head but did not complain of pain in any specific anatomical location. The next day the primary treatment team intubated and sedated the patient due to severe alcohol withdrawal symptoms.

PMH

Alcohol abuse, otherwise no significant history.

The patient is intubated and sedated Unable to obtain a neurological exam.

Poll

1 of 8

In addition to the plain film radiographs, would you obtain any additional imaging to guide management?

1 No - Current radiographs are sufficient

2 Yes - additional radiographs (XR)

3 Yes - CT scan

4 Yes - MRI

5 Yes - XR + CT

6 Yes - XR + MRI

7 Yes - CT + MRI

8 Yes - XR + CT + MRI

9 Outside my area of expertise - best if I don't vote

Other

Submit

P: 128862

If you choose the Levine and Edwards classification, how would you classify this injury?

1 I would not choose the Levine and Edwards classification

2 Type I

3 Type II

4 Type IIA

5 Type III

6 Outside my area of expertise - best if I don't vote

Other

Submit

P: 8904

Would you use a classification system to aid in treatment?

1 No - a classification system would not help me

2 Yes - Levine and Edwards

3 Yes - Francis

4 Yes - Josten

5 Outside my area of expertise - best if I don't vote

Other

Submit

P: 128999

Does the presence of the C5 lamina fracture affect your treatment plan for the C2 fracture?

1 Yes

2 No

3 Outside my area of expertise - best if I don't vote

Other

Submit

P: 129008

How would you manage this patient?

1 Nonoperative

2 Operative

3 Outside my area of expertise - best if I don't vote

Other

Submit

P: 129000

If you choose Nonoperative treatment with immobilization, would the presence of the C5 lamina fracture affect your brace choice in Question 6?

1 Yes

2 No

3 Outside my area of expertise - best if I don't vote

Other

Submit

P: 129010

If you choose Nonoperative management with immobilization, how long would you immobilize the patient?

1 Nonoperative management with immobilization

2 < 2 weeks

3 3-4 weeks

4 5-6 weeks

5 7-8 weeks

6 9-10 weeks

7 11-12 weeks

8 > 12 weeks

9 Outside my area of expertise - best if I don't vote

Other

Submit

P: 129007

All Videos (1) Podcasts (0)

Sort by

L1\L2 Evidence

Date