Journal of Craniovertebral Junction and Spine

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 4  |  Issue : 2  |  Page : 59--63

A new technique in the surgical treatment of Hangman俟Q製 fractures: Neurospinal Academy (NSA) technique


Sedat Dalbayrak1, Onur Yaman2, Mesut Yilmaz1 
1 Department of Neurosurgery, Neurospinal Academy, Istanbul, Turkey
2 Clinic of Neurosurgery, Tepecik Education and Training Hospital, Izmir, Turkey

Correspondence Address:
Onur Yaman
Clinic of Neurosurgery, Tepecik Education and Training Hospital, Izmir
Turkey

Context: Treatment of Hangman俟Q製 fractures is still controversial. Hangman俟Q製 fractures Type II and IIA are usually treated with surgical procedures. Aim: This study aims at describing the Neurospinal Academy (NSA) technique as an attempt to achieve an approximation of the fracture line to the axis body, which may be used for Type II and IIA patients with severe displacement and angulation. Settings and Design: NSA technique both pars or pedicle screws are placed bicortically to ensure that anterior surface of C2 vertebral body will be crossed 1-2 mm. A rod is prepared in suitable length and curve to connect the two screws. For placing the rod, sufficient amount of bone is resected from the C2 spinous process. C2 vertebral body is pulled back by means of the screws that crossed the anterior surface of C2 vertebral body. Materials and Methods: Hangman II and IIA patient are treated with NSA technique. Result: Angulated and tilted C2 vertebral body was pulled back and approximated to posterior elements. Conclusions: In Hangman俟Q製 fractures Type II and IIA with severe vertebral body and pedicle displacement, NSA technique is an effective and reliable treatment alternative for the approximation of posterior elements to the C2 vertebral body, which is tilted, angulated, and dislocated.


How to cite this article:
Dalbayrak S, Yaman O, Yilmaz M. A new technique in the surgical treatment of Hangman's fractures: Neurospinal Academy (NSA) technique.J Craniovert Jun Spine 2013;4:59-63


How to cite this URL:
Dalbayrak S, Yaman O, Yilmaz M. A new technique in the surgical treatment of Hangman's fractures: Neurospinal Academy (NSA) technique. J Craniovert Jun Spine [serial online] 2013 [cited 2020 Aug 5 ];4:59-63
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=59;epage=63;aulast=Dalbayrak;type=0