A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique

Context: Treatment of Hangman′s fractures is still controversial. Hangman′s 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 bo...

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Main Authors: Sedat Dalbayrak, Onur Yaman, Mesut Yilmaz
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Craniovertebral Junction and Spine
Subjects:
Online Access:http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=59;epage=63;aulast=Dalbayrak
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author Sedat Dalbayrak
Onur Yaman
Mesut Yilmaz
author_facet Sedat Dalbayrak
Onur Yaman
Mesut Yilmaz
author_sort Sedat Dalbayrak
collection DOAJ
description Context: Treatment of Hangman′s fractures is still controversial. Hangman′s 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′s 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.
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spelling doaj.art-46a664cc55a84566b551364ecee558eb2022-12-22T02:30:39ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372013-01-0142596310.4103/0974-8237.128529A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) techniqueSedat DalbayrakOnur YamanMesut YilmazContext: Treatment of Hangman′s fractures is still controversial. Hangman′s 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′s 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.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=59;epage=63;aulast=DalbayrakHangman′s fracturesurgeryType IIType IIA
spellingShingle Sedat Dalbayrak
Onur Yaman
Mesut Yilmaz
A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique
Journal of Craniovertebral Junction and Spine
Hangman′s fracture
surgery
Type II
Type IIA
title A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique
title_full A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique
title_fullStr A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique
title_full_unstemmed A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique
title_short A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA) technique
title_sort new technique in the surgical treatment of hangman s fractures neurospinal academy nsa technique
topic Hangman′s fracture
surgery
Type II
Type IIA
url http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=59;epage=63;aulast=Dalbayrak
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AT mesutyilmaz anewtechniqueinthesurgicaltreatmentofhangmansfracturesneurospinalacademynsatechnique
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