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- W2388860852 abstract "Objective:To explore the different methods and the effects of the anterior surgical treatment for Hangman's fractures of type Ⅱ and Ⅱa.Method:11 patients with Hangman's fracture of type Ⅱ or Ⅱa were treated by anterior internal fixations between June 2001 and June 2006.All patients manifested pains and movement limitation of the neck.Two patients had incomplete spinal cord injury.The selection of different internal fixations were made according to the circumstances of different patients.Seven patients with type Ⅱ and Ⅱa Hangman's fractures whose C2 vertebrae were easy to be exposed were treated by the plate and screws system along with interbody fusion with bone graft.One patient with type Ⅱa Hangman's fracture whose C2 vertebra with a bone cyst inside was difficult to be exposed and the angulation between C2 and C3 was still obvious after skull traction was treated by the insertion of solis between C2,C3.Three patients with type Ⅱ Hangman's fracture whose C2 vertebrae were difficult to be exposed and the fracture reduction was satisfied were treated by the C2～3 vertebral screw with granular bone graft on the vertebral surface.Result:All cases were successfully followed up for an average of 13 months.All achieved bony fusion whose symptoms were relieved obviously.Of the two patients associated with incomplete spinal cord injury,one achieved complete recovery and another recovered partially.No operation complications occurred.Only one patient treated by the solis still had an slight angulation between C2 and C3 immediately after operation.But the patient's symptoms were relieved,the insert did not displace during follow-up and achieved bony fusion 2 months after the operation.Conclusion:The anterior surgical treatment for Hangman's fractures of type Ⅱ and Ⅱa is effective,reasonable and with few complications.Satisfactory surgical results can be achieved through good selection of different ways of internal fixations according to the circumstances of different patients." @default.
- W2388860852 created "2016-06-24" @default.
- W2388860852 creator A5035921366 @default.
- W2388860852 date "2007-01-01" @default.
- W2388860852 modified "2023-09-23" @default.
- W2388860852 title "Anterior surgical treatment by internal fixation for Hangman's fractures of type II and IIa" @default.
- W2388860852 hasPublicationYear "2007" @default.
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