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Journal of Neurology and Neurorehabilitation Research | Volume 4
September 03-04, 2019 | London, UK
Spine and Spinal Disorders
4th International Conference on
J Neurol Neurorehabil Res, Volume 4
Functional outcome in unstable Hangman’s fracture managed with anterior decom-
pression and stabilization with cervical locking plate and tricortical bone graft
Vaibhav Jain
AIIMS Bhopal, India
Between 2010 and 2016, 44 patients (range 19-75 years)
with unstable hangman’s fracture underwent anterior
decompression and stabilization with cervical locking plate
and tricortical bone graft in our institution. According to the
Levine – Edwards classification all patients were unstable
type with Type Ia–6(13.6), type II 35(79.5%), Type II (0),
Type III (6.8). The mean period of follow up was 17 months
(range 6 to 48 months). None of the patient has worsening
of neurological deficit postoperatively. Neurological recovery
was observed in all 9 patients. All patients were relieved
from axial pain. All patients showed solid fusion with no
complication related to bone graft and plate .The method in
our study is feasible and safe method in treating Hangman’s
fracture, with the benefit of high primary stability, anatomical
reduction and direct decompression of the spinal cord. To
study the functional outcome in unstable Hangman’s fracture
managed with anterior decompression and stabilization with
cervical locking plate and tricortical bone graft .44 patients
(range 19-75 years) with unstable hangman’s fracture
were included in study. According to the Levine- Edwards
classification all patients were unstable type with Type Ia
-6(13.6), type II 35(79.5), Type III (6.8). The mean period of
follow up was 17 months. None of the patient has worsening
of neurological deficit postoperatively. Neurological recovery
was observed in all 9 patients. All patients were relieved
from axial pain. All patients showed solid fusion with no
complication related to bone graft and plate. The method in
our study is feasible and safe method in treating Hangman’s
fracture, with the benefit of high primary stability, anatomical
reduction and direct decompression of the spinal cord.
Speaker Biography
Vaibhav Jain has completed his M.S. orthopaedics from Indira Gandhi
Medical College Shimla in the year 2016. He completed his Fellowship in
spine surgery fromHosmat Hospital Bangalore. He has presented scientific
papers in national, zonal and state conferences. He has been invited as a
faculty in North zone orthopedic association conference 2018 (NZOACON
2018). He received a BEST PAPER AWARD in NZOACON 2018. He has
published 2 papers on cervical spine injury in PUBMED indexed journal.
Currently he is working as Senior Resident in Department of orthopaedics
AIIMS Bhopal and actively involved in planning and management of spinal
disorder in the department.
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