Verettas Dionysios-Alexander J, Karapantsos Elias, Boyatzis Christos, Ververidis Athanasios, Kazakos Konstantinos J, Staikos Christos
Department of Orthopaedics, Democritus University of Thrace, University Hospital of Alexandroupolis Dragana, Alexandroupolis 68100, Greece.
Spine J. 2008 May-Jun;8(3):552-4. doi: 10.1016/j.spinee.2007.01.007. Epub 2007 Mar 30.
Rupture of the trachea combined with a Hangman's fracture has been reported rarely in the literature. We present a case of a rupture of the trachea combined with a type IV Hangman's fracture that remained undiagnosed for 7 weeks, in a 25-year-old woman after a road traffic accident.
To underline the necessity that physicians treating patients with multiple injuries including the trachea and the mediastinum should be aware of the fact that injuries of the trachea can be accompanied by trauma to other contents of the mediastinum and of the cervical spine.
A 24-year-old woman was involved in a head on collision road traffic accident. She has suffered from a rupture of the trachea combined with a type IV Hangman's fracture that remained undiagnosed for 7 weeks.
Emergency surgical repair of the rupture of the trachea was performed. A halo vest for a total period of 4 months was applied.
The patient followed a rehabilitation program, and, at her last visit, 12 months after her injury, had remained asymptomatic. A computed tomography scan of her cervical spine showed union through callous formation, and she had returned to her previous job and recreational activities.
Physicians treating patients with multiple injuries including the trachea and the mediastinum should be aware of the fact that injuries of the trachea can be accompanied by trauma to other contents of the mediastinum and of the cervical spine.
气管破裂合并枢椎椎弓根骨折在文献中报道较少。我们报告一例25岁女性在道路交通事故后发生气管破裂合并IV型枢椎椎弓根骨折，7周未被诊断。
强调治疗包括气管和纵隔在内的多处损伤患者的医生应意识到气管损伤可能伴有纵隔和颈椎其他内容物的创伤。
一名24岁女性发生正面碰撞道路交通事故。她患有气管破裂合并IV型枢椎椎弓根骨折，7周未被诊断。
对气管破裂进行急诊手术修复。应用头环背心共4个月。
患者遵循康复计划，受伤12个月后最后一次就诊时无症状。颈椎计算机断层扫描显示通过骨痂形成愈合，她已恢复以前的工作和娱乐活动。
治疗包括气管和纵隔在内的多处损伤患者的医生应意识到气管损伤可能伴有纵隔和颈椎其他内容物的创伤。
