{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:15Z","timestamp":1789290315613,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nPosterior cord syndrome (PCS) sits outside the five incomplete spinal cord injury (SCI) syndromes formally recognized by the International Standards for Neurological Classification of SCI, and carries a reported incidence below 1%. Because routine neurological screening often skips detailed dorsal column testing, PCS is thought to be substantially under-diagnosed, and traumatic PCS in particular has only been described in a handful of published reports, nearly all in the cervical spine.\n\nCase Report:\nA 24-year-old man sustained a hyperextension injury of the cervical spine in a road traffic accident, presenting with whole-body paresthesia, neck pain, and asymmetric upper-limb weakness. Computed tomography demonstrated a C1 transverse process fracture, a hangman fracture with associated lamina, spinous process, and teardrop fracture components of C2, and a C3 spinous process fracture without subluxation. Magnetic resonance imaging (MRI) showed faint diffuse cord edema and anterior longitudinal ligament disruption at C2-C3. He underwent anterior cervical interbody fusion at C2-C3 with halo immobilization and made a near-complete neurological recovery over 1 year, retaining only mild residual proprioceptive deficits in the hands and feet. Follow-up MRI obtained 10 months after injury anatomically localized the injury to the posterior columns, confirming PCS.\n\nConclusion:\nThis case shows how traumatic PCS can be overlooked on early imaging and only becomes anatomically apparent on delayed MRI. A structured sensory examination that specifically tests proprioception and vibration, combined with repeat imaging when symptoms persist, is essential for correctly identifying this rare and likely under-recognized injury pattern.\n\nKeywords:\nPosterior cord syndrome , spinal cord injury , hangman fracture , proprioception , cervical spine trauma , incomplete spinal cord injury<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8024","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T02:11:05Z","timestamp":1788660665000},"page":"172-176","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Blunt Traumatic Posterior Cord Syndrome Following a Hangman Fracture: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Sharath","family":"Raj","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V B","family":"Shrinivas","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saloni Rani","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urvi","family":"Goni","sequence":"additional","affiliation":[{"name":"epartment of Orthopedics, St. George University, SGU School of Medicine, Grenada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay G","family":"Goni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:23Z","timestamp":1789289123000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/blunt-traumatic-posterior-cord-syndrome-following-a-hangman-fracture-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8024","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8024","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}