Case Report The axis body of chance-type fracture associated with Hangman’s fracture: a case report and literature review

Transverse fracture through the axis body is quite different from Anderson and D’Alonzo type III odontoid fracture, and its combination with hangman’s fracture has not been reported on a literature review, which is a combination fracture involving multiple areas of axis and the classification relative to multiple axis fractures that have not been put forward yet. Although there was no neurologic complication in our case, the poor stability and high risk with conservative treatment has been mentioned. Therefore, surgical management was taken into consideration and the operation was based on the fracture patterns and patient’s characteristics. It was operated successfully through the anterior odontoid screwing fixation combined with anterior C2-3 discectomy and bone grafting and anterior cervical plate fixation. Satisfactory clinical and radiological outcomes were obtained in two years’ follow-up. The surgical treatment was recommended for complex multiple areas fracture of axis.