Anterior Fusion Combined with Posterior Sublaminar Wire Fixation for the Treatment of Unstable Hangman's Fracture

Aims: To report the management strategies and surgical treatment for unstable hangman’s fractures.

Study Design: Case report study.

Place and Duration of Study: Dr. Moewardi Hospital, Surakarta in 2021.

Presentation of the Case: A 22-year-old female with multiple injuries following a motor vehicle accident. The patient was diagnosed with unstable hangman’s fracture, multiple fractures of left costae, and left hemothorax. The patient was treated by surgical treatment using a combination of anterior fusion and posterior sublaminar wire fixation for cervical fracture, conservative for costae fractures, and intercostal drainage for left hemothorax.

Results: The patient recovered well after the surgery, with a good clinical outcome and a satisfactory radiograph result.

Conclusion: Anterior fusion of C2-3 combined with posterior sublaminar wire fixation of C1-2 is effective in the treatment of unstable Hangman’s fracture.