Intraoperative angiography to prevent vertebral artery injury during reduction of a dislocated hangman fracture. Case report

Toshiyuki Takahashi, Teiji Tominaga, Masayuki Ezura, Kiyotaka Sato, Takashi Yoshimoto

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

The authors report on a 38-year-old woman with a dislocated hangman fracture associated with unilateral vertebral artery (VA) occlusion. The patient presented with a mild central cord syndrome, as well as anterior subluxation of the C-2 vertebral body upon C-3, bilateral neural arch fractures, and a unilateral locked facet joint. Digital subtraction angiography revealed occlusion of the right VA, with the posterior cerebral circulation entirely dependent on the left VA. Intraoperative angiography demonstrated that complete reduction of the dislocation would have caused severe stenosis of the left VA; partial reduction and anterior fixation were performed instead, with excellent neurological outcome. In this case, intraoperative angiography was particularly useful for preventing brain-related ischemic complications during reduction.

Original languageEnglish
Pages (from-to)355-358
Number of pages4
JournalJournal of neurosurgery
Volume97
Issue number3 SUPPL.
Publication statusPublished - 2002 Oct 1

Keywords

  • Axis
  • Hangman fracture
  • Intravascular occlusion
  • Locked facet
  • Vertebral artery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Intraoperative angiography to prevent vertebral artery injury during reduction of a dislocated hangman fracture. Case report'. Together they form a unique fingerprint.

Cite this