POSTERIOR SCREW-PLATE FIXATION IN TRAUMATIC SPONDYLOLISTHESIS OF AXIS

Traumatic spondylolisthesis of axis (Hangman's fracture) is not a rare pathology. Although it is a very unstable fracture, healing can be achieved by conservative treatment. In case of rejection of medical treatment or persisting instability following Halo brace, surgery can be a necessity for the treatment of this pathology. In this presentation, surgical treatment of hangman1 s fracture was discussed reviewing the literature and posterior C2-C3 transpedicular plate screw fixation is emphasised as the best approach for treatment.

AKSÝSÝN TRAVMATÝK SPONDÝLOLÝSTEZÝSÝNDE POSTERÝOR PLAK-VÝDA FÝKSASYONU

Asýlan adam kýrýðý üst servikal bölgenin nadir olmayan kýrýklardandýr. Son derece instabil kýrýklar olup konservatif tedaviye iyi yanýt verirler. Konservatif tedaviyi reddeden, cevap vermeyen vakalarda cerrahi müdahale endikasyonu vardýr. Burada sunulan olguda asýlan adam kýrýðý cerrahi tedavisi literatürde gözden geçirilerek tartýþýlmýþ ve posterior C2-3 plak vida fiksasyonunun zor ama yapýlmasý gereken müdahale olduðu vurgulanmýþtýr.