Department of Neurosurgery, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Parel, Mumbai, India.
Department of Neurosurgery, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Parel, Mumbai, India; Department of Neurosurgery, Lilavati Hospital and Research Centre, Bandra East, Mumbai, India.
World Neurosurg. 2020 Jul;139:370-372. doi: 10.1016/j.wneu.2020.04.137. Epub 2020 Apr 26.
We report a rare case of Hangman's fracture in a male child with osteopetrosis.
A 7-year-old boy was earlier diagnosed to have 'osteopetrosis'. He presented with neck pain, restriction of neck movements and quadriparesis following a fall while playing at home. Investigations revealed fracture of the bilateral C2 pars interarticularis. Goel technique of lateral mass plate and screw fixation was done on one side and a C2 pedicular screw fixation that traversed across the fracture line was performed on the contralateral side. The patient recovered rapidly in all symptoms following surgery.
Osteopetrosis can be a rare cause of Hangman's fracture.
我们报告了一例罕见的成骨不全症男性儿童的Hangman 骨折。
一名 7 岁男孩此前被诊断为“成骨不全症”。他在家中玩耍时摔倒后出现颈部疼痛、颈部活动受限和四肢瘫痪。检查发现双侧 C2 椎弓根峡部骨折。一侧采用 Goel 侧块钢板螺钉固定技术,另一侧采用穿过骨折线的 C2 椎弓根螺钉固定。手术后患者所有症状均迅速恢复。
成骨不全症可能是 Hangman 骨折的罕见原因。