Saternus K S
Aktuelle Traumatol. 1986 Oct;16(5):169-75.
The hangman's fracture is since Wood-Jones (1913) considered to be a pedicle fracture of the axial arch, combined with extensive lacerations of the intervertebral disk and the longitudinal ligaments in spine motion segment C2/3. In its mechanics it is ascribed to a non-physiological strain in the sagittal plane in particular due to added submental pressure. The various forms of strain which cause the phenomenon of the hangman's fracture are discussed in detail. In this context it appears that for the model conception chosen one must invariably also consider a rotary component. The definition of the pedicle fracture requires profound reexamination, since this topographic region manifests itself only from C3 onwards but not in the area of the axial arch. After the consideration of the location of the fracture plane the proposition is made to comply with clinical considerations instead and to define it as an intraarticular or extraarticular arch fracture. In the conclusion it is demonstrated in an exemplary manner that the monosegmental injury of the intervertebral disk and the longitudinal ligaments in the segment C2/3 considered to be typical need not be mandatory. However, if it is not present, injuries in the soft-tissue of the lower motion segments are to be expected.
自伍德 - 琼斯（1913年）以来，绞刑者骨折被认为是椎弓根骨折，伴有脊柱运动节段C2/3椎间盘和纵韧带的广泛撕裂。其力学原理归因于矢状面的非生理性应变，特别是由于颏下压力增加所致。详细讨论了导致绞刑者骨折现象的各种应变形式。在这种情况下，似乎对于所选择的模型概念，必须始终考虑旋转分量。椎弓根骨折的定义需要深入重新审视，因为这个地形区域仅从C3开始出现，而不在椎弓区域。在考虑骨折平面的位置后，建议转而遵循临床考虑，并将其定义为关节内或关节外弓骨折。结论中以示例方式表明，被认为是典型的C2/3节段椎间盘和纵韧带的单节段损伤并非必然存在。然而，如果不存在这种损伤，则预计下运动节段的软组织会受到损伤。
