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Hangman’s Fracture

2007· article· en· W1981906862 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueSpine · 2007
Typearticle
Languageen
FieldMedicine
TopicSpinal Fractures and Fixation Techniques
Canadian institutionsLondon Health Sciences Centre
Fundersnot available
KeywordsMedicinePars interarticularisFixation (population genetics)Cadaveric spasmLateral massAnatomyOsteosynthesisOrthodonticsSurgerySpondylolisthesisCervical spineLumbarSpondylolysis

Abstract

fetched live from OpenAlex

In Brief Study Design. In vitro biomechanical flexibility experiment studying 5 sequential conditions. Objective. To determine the biomechanical differences among 3 fixation techniques after a simulated hangman’s fracture. Summary of Background Data. Type II hangman’s fractures are often treated surgically with a C2–C3 anterior cervical discectomy, fusion, and plating. Other techniques include direct fixation with C2 pars interarticularis screws or posterior C2–C3 fixation connecting C2 pars screws to C3 lateral mass screws. Methods. Seven cadaveric specimens (Oc–C4) were tested intact, after a simulated hangman’s fracture, and after each fixation technique. Flexion, extension, lateral bending, and axial rotation were induced using nonconstraining torques while recording angular motions stereophotogrammetrically. Results. Direct screw fixation reduced motion an average of 61% ± 13% during lateral bending and axial rotation compared to the injured state (P < 0.007). However, instability remained during flexion and extension. Posterior C2–C3 rod fixation provided significantly greater rigidity than anterior plate fixation during lateral bending (P < 0.008) and axial rotation (P < 0.04). Conclusions. Direct fixation of the pars ineffectively limits flexion and extension after a Type II hangman’s fracture. If pars screw fixation can be achieved, posterior C2–C3 fixation more effectively stabilizes a hangman’s fracture than anterior cervical plating. Type II hangman’s fracture was simulated in vitro. Three methods of fixating the injury were compared biomechanically: direct C2 pars fixation, anterior C2–C3 plating, and posterior C2 pars screws connected to C3 lateral mass screws. Direct pars fixation restored moderate stability, and posterior fixation was more rigid than anterior fixation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.564
Threshold uncertainty score0.710

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.011
GPT teacher head0.325
Teacher spread0.313 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it