Management of isolated fractures of the Axis in Adults

Timothy C. Ryken, Mark N. Hadley, Bizhan Aarabi, Sanjay S. Dhall, Daniel E. Gelb, R. John Hurlbert, Curtis J. Rozzelle, Nicholas Theodore, Beverly C. Walters

Research output: Contribution to journalArticlepeer-review

66 Scopus citations


Combination fractures of the atlas and axis occur relatively frequently and are associated with an increased incidence of neurological deficit compared with either isolated C1 or isolated C2 fractures. C1-type II odontoid combination fractures are the most commonC1-C2 combination fracture injury pattern, followed by C1-miscellaneous axis body fractures, C1-type III odontoid fractures, and C1-Hangman combination fractures. Class III medical evidence addressing the management of patients with acute traumatic combination atlas and axis fractures describes a variety of treatment strategies for these unique fracture injuries based primarily on the specific characteristics of the axis fracture injury subtype..

Original languageEnglish (US)
Pages (from-to)132-150
Number of pages19
Issue numberSUPPL.2
StatePublished - Mar 2013
Externally publishedYes


  • Axis fractures
  • Hangman fractures
  • Odontoid fractures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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