CT,BONE WINDOW, top three sagittal, bottom two axialFracture-lines confirm hangman's fracture.
Fracture-lines run throught pars interarticularis.
Classification of Hangman's Fractures:
Type I (65%), hairline fracture, C2-C3 disc normal
Type II (28%), displaced C2, disrupted C2-C3 disc,ligamentous rupture with instability, C3 anterosuperior compression fracture
Type III (7%), displaced C2, C2-C3 bilateral interfacet dislocation, severe instability
A hangman's fracture is a fracture of an upper cervical vertebra similar to that suffered in hanging death. Most are caused by motor vehicle accidents. May be caused by hanging or falls.
http://www.radiologyassistant.nl/en/49021535146c5
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