Unstable Hangman & #39;s fracture: Anterior or posterior surgery ?

Conclusions: The unstable hangman's fractures can be effectively managed with both anterior and posterior approaches with comparable clinico-radiological outcome. A minimally invasive nature, earlier pain-free status, early mobilization with reduced hospitalization make the ACDF efficacious, particularly in cases with no medullary canal in C2 pedicles and traumatic C2–3 disc herniation with listhesis compressing the spinal cord.
Source: Journal of Craniovertebral Junction and Spine - Category: Orthopaedics Authors: Source Type: research