{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T07:53:08Z","timestamp":1649145188182},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Hangman\u2019s fractures are one of the most frequent types of high cervical spine injuries. Here, we present a quadriplegic patient due to a hangman\u2019s fracture treated during the coronavirus 2019 (COVID-19) pandemic.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 19-year-old male was quadriplegic and in spinal shock following a motor vehicle accident. X-rays showed a C2 hangman\u2019s fracture with instability. X-rays and CT studies both confirmed anterior dislocation at C2 on C3 with bilateral pedicle C2 fractures and 5 mm of subluxation. In addition, he had an infiltrate in both lungs consistent with the diagnosis of COVID-19. The patient was intubated for respiratory failure and hemodynamically stabilized for his spinal shock. Unfortunately, before surgical intervention could be undertaken, the patient sustained a fatal cardiorespiratory arrest.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Utilizing appropriate personal protective equipment, it was and should be possible to treat patients with spinal injuries in the presence of active COVID infection. However, the risks of treating such spinal urgencies and emergencies should be thoroughly discussed with the entire nonsurgical and surgical treatment teams (e.g., including anesthesiologists, physicians, nurses, and other caregivers).<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_666_2020","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T09:32:30Z","timestamp":1607074350000},"page":"415","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of unusual hangman\u2019s fracture in cluster region during coronavirus 2019 pandemic"],"prefix":"10.25259","volume":"11","author":[{"given":"Galih Indra","family":"Permana","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"10.25259\/SNI_666_2020\/ref-1","first-page":"5","article-title":"The Torg-Pavlov ratio for the prediction of acute spinal cord injury after a minor trauma to the cervical spine","volume":"13","author":"Aebli","year":"2013","journal-title":"Spine J"},{"key":"10.25259\/SNI_666_2020\/ref-2","article-title":"Implementation Guideline of Indonesian Neurosurgical SOCIETY (INS) in Neurosurgical Treatment within COVID-19 Pandemic","author":"Bajamal","year":"2020"},{"key":"10.25259\/SNI_666_2020\/ref-3","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1590\/S1413-78522012000200005","article-title":"Traumatic spondylolisthesis of the axis: Epidemiology, management and outcome","volume":"20","author":"Ferro","year":"2012","journal-title":"Acta Ortop Bras"},{"key":"10.25259\/SNI_666_2020\/ref-4","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.6061\/clinics\/2013(11)12","article-title":"Fractures of the cervical spine","volume":"68","author":"Marcon","year":"2013","journal-title":"Clin (Sao Paulo)"},{"key":"10.25259\/SNI_666_2020\/ref-5","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/S0090-3019(97)00442-4","article-title":"Chronic progressive hematomyelia: Case reports and review of the literature","volume":"51","author":"Matsumura","year":"1999","journal-title":"Surg Neurol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/treatment-of-unusual-hangmans-fracture-in-cluster-region-during-coronavirus-2019-pandemic\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/treatment-of-unusual-hangmans-fracture-in-cluster-region-during-coronavirus-2019-pandemic\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T09:32:33Z","timestamp":1607074353000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/treatment-of-unusual-hangmans-fracture-in-cluster-region-during-coronavirus-2019-pandemic\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,4]]},"references-count":5,"alternative-id":["10.25259\/SNI_666_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_666_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,4]]},"article-number":"415"}}