title: Neglected Hangman's fracture in association with rupture of the trachea.
abstract: BACKGROUND
  Rupture of the trachea combined with a Hangman's fracture has been reported rarely in the literature. We present a case of a rupture of the trachea combined with a type IV Hangman's fracture that remained undiagnosed for 7 weeks, in a 25-year-old woman after a road traffic accident.
  
  
  OBJECTIVE
  To underline the necessity that physicians treating patients with multiple injuries including the trachea and the mediastinum should be aware of the fact that injuries of the trachea can be accompanied by trauma to other contents of the mediastinum and of the cervical spine.
  
  
  METHODS
  A 24-year-old woman was involved in a head on collision road traffic accident. She has suffered from a rupture of the trachea combined with a type IV Hangman's fracture that remained undiagnosed for 7 weeks.
  
  
  METHODS
  Emergency surgical repair of the rupture of the trachea was performed. A halo vest for a total period of 4 months was applied.
  
  
  RESULTS
  The patient followed a rehabilitation program, and, at her last visit, 12 months after her injury, had remained asymptomatic. A computed tomography scan of her cervical spine showed union through callous formation, and she had returned to her previous job and recreational activities.
  
  
  CONCLUSIONS
  Physicians treating patients with multiple injuries including the trachea and the mediastinum should be aware of the fact that injuries of the trachea can be accompanied by trauma to other contents of the mediastinum and of the cervical spine.
authors: Department of Orthopaedics, Democritus University of Thrace, University Hospital of Alexandroupolis Dragana, Alexandroupolis 68100, Greece.
authors: Dionysios-Alexander J
authors: DA
authors: Verettas
authors: Elias
authors: E
authors: Karapantsos
authors: Christos
authors: C
authors: Boyatzis
authors: Athanasios
authors: A
authors: Ververidis
authors: Konstantinos J
authors: KJ
authors: Kazakos
authors: Christos
authors: C
authors: Staikos
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012421:Rupture; D016103:Spinal Fractures / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D014132:Trachea / Q000293:injuries*