Hangman fracture - Levine and Edwards type 2a

Case contributed by Craig Hacking
Diagnosis certain

Bilateral oblique lamina fractures of C2 with anterior translation and angulation measuring 18 degrees. The C2/3 facet joints maintain normal alignment. Widening of the posterior IV disc space at C2/3 suggests an injury of the posterior longitudinal ligament. Widening of the C1/2 interspinous space indicating a ligamentous injury. Marked prevertebral soft tissue thickening.

ETT in situ. Right upper lobe consolidation in keeping with aspiration.

Case Discussion

This C2 hangman fracture represents a Levine and Edwards type 2a injury due to the amount of angulation and the orientation of the fractures.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.