Neurologico Spinale Medico Chirurgico
Vol 5 No 1 (2022)

Occipito-cervical fusion approach to Hangman’s fracture on osteoporosis patient

Glen Sandi Saapang (Department of Neurosurgery Faculty of Medicine, Udayana University, Sanglah General Hospital Bali, Indonesia)
I Gusti Ketut Agung Surya Kencana (Department of Neurosurgery Faculty of Medicine, Udayana University, Sanglah General Hospital Bali, Indonesia)
Tjokorda Gde Bagus Mahadewa (Department of Neurosurgery Faculty of Medicine, Udayana University, Sanglah General Hospital Bali, Indonesia)

Article Info

Publish Date
27 Mar 2022

Abstract

An unstable Hangman fracture in an elderly patient is a condition that requires special consideration in selecting a surgical approach. In a healthy sixty-year-old man with a good Karnofsky score, a cervical X-ray and non-contrast CT-scan (NCCT) were performed to confirm the diagnosis. Installation of cervical traction with light weights first followed by occipito-cervical fusion has shown improvement in fracture alignment without complications, even with limited resources. Postoperative radiological examination showed good realignment with lateral mass screw fixation. From this case, it can be seen that the selection of the right surgical procedure in elderly patients is important, especially for those who do not have significant comorbidities.

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Journal Info
Neurologico Spinale Medico Chirurgico
Website

Abbrev

nsmc

Publisher

Universitas Udayana

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Description

Neurologico Spinale Medico Chirurgico (NSMC) is an open-access, single-blind peer-reviewed journal, published by Indonesian Neurospine Society (INSS) under the flag of Indonesian Neurosurgery Society (INS) and Faculty of Medicine, Udayana University. NSMC publishes articles which encompass all ...