• World Neurosurg · Nov 2018

    Hangman's fracture caused by parachute opening deceleration captured on video.

    • Franziska Loebel, Lucius Fekonja, Peter Vajkoczy, and Nils Hecht.
    • Department of Neurosurgery Charité University Hospital, Berlin, Germany.
    • World Neurosurg. 2018 Nov 1; 119: 389-393.

    BackgroundNonlethal cervical spine injuries in skydiving are rare due to the associated high mortality. Here, we report an unusual pathomechanism leading to a Hangman fracture in a semiprofessional parachute athlete.Case DescriptionThe moment of injury was captured on a first-person video and identified as a rough parachute opening deceleration during canopy deployment, caused by failure of the parachute inflation control device. Fractures of the C2 pars interarticularis with C2/C3 instability were treated by anterior cervical diskectomy and fusion, and the patient reached full recovery.ConclusionsExcessive deceleration during canopy deployment may pose a risk for life-threatening cervical spine injuries in skydiving.Copyright © 2018 Elsevier Inc. All rights reserved.

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