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**C2 Vertebral Body Fracture Classification (Benzel)**
The Benzel classification divides fractures of the C2 (axis) vertebral body into three types based on the fracture plane and the associated stability.
🟩 Type I – Coronal Plane Fracture
* Fracture line runs anterior to posterior.
* Generally **stable**.
* May include mild anterior compression.
* Common treatment: **rigid cervical collar** or **halo vest**.
🟨 Type II – Sagittal Plane Fracture
* Parasagittal fracture, often separating a **superior articular facet**.
* Potentially **unstable**, especially if displaced or facet-involved.
* May require **anterior C2–C3 fusion** or posterior instrumentation.
[[Benzel type 3 fracture]].
**Classification Summary Table:**
^ Type ^ Fracture Plane ^ Stability ^ Typical Treatment ^
| 🟩 I | Coronal | Stable | Rigid collar / Halo vest |
| 🟨 II | Sagittal | Potentially unstable | Surgery depending on displacement |
| 🟥 III | Horizontal | Unstable | Surgery |