If a Hangman's fracture is stable, what is the recommended treatment?

In cases of a stable Hangman's fracture, the recommended treatment involves the use of a Cervical Thoracic Orthosis (CTO). This type of orthosis provides necessary immobilization and support to the cervical spine while allowing for a non-invasive treatment approach. Stability in a Hangman's fracture indicates that there is no significant displacement or loss of alignment in the vertebrae, which means that surgical intervention may not be required.

The CTO helps protect the spine during the healing process by restricting motion and ensuring that the fracture site remains stable. By providing this external support, patients can often avoid the higher risks associated with surgical intervention, while still effectively managing the injury.

Non-surgical management, such as the use of a CTO, allows for recovery and rehabilitation without the complexities of surgery. This approach can lead to improved outcomes and a faster return to normal function for the patient, assuming diligent follow-up and adherence to the treatment plan.