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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 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) [ABSTRACT FROM AUTHOR] Copyright of Surgical Neurology International is the property of Scientific Scholar LLC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder\'s express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
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