 showed that the result of fracture fusion reduced after one year but only one patient died of other disease during the follow-up.Hakalo and Wronski (2008) showed the benefits of operative treatment such as using transoral C2-C3 discectomy with plate-cage stabilization or posterior direct pars screw repair for the reducing and healing process.In deliberate or suicidal hanging, asphyxia is much more likely to be the cause of death due to associated prevertebral swelling.