%0 Journal Article
%T Treatment of unusual hangman's fracture in cluster region during coronavirus 2019  pandemic
%J Surgical neurology international
%D 2020
%A Permana, Galih Indra
%V 11
%N 
%P e415-e415
%X BACKGROUND: Hangman's fractures are one of the most frequent types of high cervical  spine injuries. Here, we present a quadriplegic patient due to a hangman's fracture  treated during the coronavirus 2019 (COVID-19) pandemic. CASE DESCRIPTION: A  19-year-old male was quadriplegic and in spinal shock following a motor vehicle  accident. X-rays showed a C2 hangman's 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. <br><br>CONCLUSION: 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).<p /> <p>Language: en</p>
%G en
%I Medknow Publishing
%@ 2229-5097
%U http://dx.doi.org/10.25259/SNI_666_2020