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Obstruction of the Respiratory Orifices, Larynx, Trachea and Bronchia
Published in Burkhard Madea, Asphyxiation, Suffocation,and Neck Pressure Deaths, 2020
This type of injury is only observed in exceptional cases of suicide hangings. As a general rule, fractures of the first to third cervical vertebrae only occur after a fall or jump from a certain height with the noose around the neck [21,54]. Details on the special form of hangman's fracture can be found elsewhere (see Section 2, ‘Hangman’s fracture’). The anatomical conditions are such that fractures of the second cervical vertebra are not easy to diagnose during autopsy. A computed tomography (CT) scan carried out prior to the autopsy facilitates the diagnostic investigation.
Anatomy for neurotrauma
Published in Hemanshu Prabhakar, Charu Mahajan, Indu Kapoor, Essentials of Anesthesia for Neurotrauma, 2018
Vasudha Singhal, Sarabpreet Singh
Hangman’s fracture—fracture of both pedicles or pars interarticularis of the second cervical vertebra—caused by a forcible hyperextension of the head with distraction (commonly seen in car crashes when the driver is without a seat belt and slams his chin against the steering wheel or windshield).
Spinal injuries
Published in S Asbury, A Mishra, KM Mokbel, M Fishman Jonathan, Principles of Operative Surgery, 2017
S Asbury, A Mishra, KM Mokbel, M Fishman Jonathan
Fractures most frequently occur at the junction between mobile and relatively fixed parts of the spinal column. Hangman’s fracture involves the posterior elements of C-2, and represents 5–10% of all cervical spine injuries. It results from hyperextension of the neck.C-5/C-6 subluxation with facet dislocation is a shear forces injury.Chance fracture (L-1) is a compression fracture resulting from hyper-flexion. It is normally seen in restrained drivers, and is associated with abdominal injuries.L-1 compression fracture results from a fall from a height on to both feet or the sacrum. Axial force is transmitted up to the junction between the mobile lumbar spine and fixed thoracic spine.
Type-III Hangman's fracture combined with serious cerebrovascular injury after near-hanging: a first case report and review of the literature
Published in British Journal of Neurosurgery, 2023
Radek Kaiser, Karel Saur, Andriy Smolanka, Gautham Ullas, Vladimír Beneš
Hangman’s fracture is a rare injury caused typically by motor vehicle accidents or falls. We describe the first reported case of HF caused by near-hanging. Posterior reduction and C1-3 fusion was performed and antiplatelet therapy was given for 3 months. The patient survived without any neurological deficit. This scenario lends support to the clinical teaching that even a patient after non-fatal hanging suicide attempt may suffer from highly unstable cervical fracture, and that such serious injuries may have very good prognosis if managed adequately.