A Dangerous Neck Injury

A 25-year-old man presents with severe neck pain after a high-speed MVC. Explore the diagnosis based on an axial CT Scan of the C2 vertebra.

Traumatic spondylolisthesis of the axis (hangman's fracture)


A 25-year-old man presented to the emergency department with severe neck pain after a high-speed motor vehicle collision resulted in neck hyperextension. Axial CT scan of the C2 vertebrae is shown here. What is the diagnosis?

What is the most likely diagnosis?

Traumatic spondylolisthesis of the axis (hangman’s fracture)
Odontoid fracture (dens fracture)
Cervical spinous process fracture (Clay-shoveler fracture)
Flexion tear drop fracture
Cervical burst fracture (Jefferson fracture)

C2 fracture, Cervical spine fracture, CT Scan, Trauma, Traumatic spondylolisthesis of the axis (hangman’s fracture)

Leave a Comment