PMC6080141_01
CT sagital scan showing C2 Fracture
SNI-9-147-g001.jpg
PMC6080141_01_SNI-9-147-g001.jpg
F1
Magnetic resonance imaging (MRI) and computed tomography (MRI) documented a C2 Hangman's fracture type IIa [Figures 1 and 2].
CT axial scan showing bilateral facet C2 fracture
SNI-9-147-g002.jpg
PMC6080141_01_SNI-9-147-g002.jpg
F2
Magnetic resonance imaging (MRI) and computed tomography (MRI) documented a C2 Hangman's fracture type IIa [Figures 1 and 2].
Sagital MRI that shows the angulation greater than 11 grades and comprise of the C2-3 intervertebral disc
SNI-9-147-g003.jpg
PMC6080141_01_SNI-9-147-g003.jpg
F3
MRI also showed rupture of the C2-3 intervertebral disk and ligaments at the C1-2 junction, resulting in angulation of 13.3 degrees [Figure 3].
Axial CT scan that shows adequate reduction of C2 fracture with transpedicular screws
SNI-9-147-g004.jpg
PMC6080141_01_SNI-9-147-g004.jpg
F4
Next, 2 titanium bars/six locks, cross link, and 10 ml of bone matrix were applied [Figures 4-8].
Sagital CT scan that shows reduction of fractured elements
SNI-9-147-g005.jpg
PMC6080141_01_SNI-9-147-g005.jpg
F5
Next, 2 titanium bars/six locks, cross link, and 10 ml of bone matrix were applied [Figures 4-8].
3D reconstruction showing posterior C2-4 fusion
SNI-9-147-g006.jpg
PMC6080141_01_SNI-9-147-g006.jpg
F6
Next, 2 titanium bars/six locks, cross link, and 10 ml of bone matrix were applied [Figures 4-8].
Transoperative view of the cervical screws in place
SNI-9-147-g007.jpg
PMC6080141_01_SNI-9-147-g007.jpg
F7
Next, 2 titanium bars/six locks, cross link, and 10 ml of bone matrix were applied [Figures 4-8].
Transoperative fluoroscopic control showing adequate placement of cervical C2-4 screws
SNI-9-147-g008.jpg
PMC6080141_01_SNI-9-147-g008.jpg
F8
Next, 2 titanium bars/six locks, cross link, and 10 ml of bone matrix were applied [Figures 4-8].