Hangman fracture

Case contributed by Dr Maxime St-Amant


High velocity trauma.

Patient Data

Age: 55
Gender: Female

Lateral cervical x-ray shows a fracture involving the pars interarticularis of C2 with a 5 mm diastasis and anterolistesis of C2 on C3. This patient also has metallic instrumentation in the lower cervical spine. This is highly suggestive of Hangman's fracture. CT-scan is recommended to further evaluate the extent of the cervical spine injuries.


CT-scan confirms bilateral C2 pars interarticularis fracture, compatible with Hangman's fracture.

Case Discussion

Hangman's fracture is an unstable cervical spine fracture seen with trauma in hyperextension.

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Case information

rID: 19431
Published: 8th Sep 2012
Last edited: 14th Aug 2019
Tag: spine
Inclusion in quiz mode: Included

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