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This Man Expects to Run a 2:50 in the Boston Marathon on Monday

BOULDER, Colo. — The world-record holder in the Ironman triathlon had what is known as a hangman’s fracture, a broken C2 vertebra, like that found in someone who has died by hanging.

His doctor laid out his options: A hard collar would let the bones mend on their own, but was inadvisable because of the fracture’s severity. Surgery would fuse the vertebrae, promising a quick fix and a comfortable recovery, but it would limit his neck’s range of motion, ending his athletic career. Or he could have a halo.

“The halo is like a medieval torture device,” the doctor said.