Isolated symptomatic cervical spinous process fracture requiring surgery

Hirsh, Leonard F.; Duarte, Luis E.; Wolfson, Eric H.; Gerhard, Wilhelm

doi:10.3171/jns.1991.75.1.0131

Cited by 18 publications

(11 citation statements)

References 9 publications

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“…In literature, it is reported that fractures cause severe pain and temporary disability should undergo surgery (8). In our case no union was seen at disassociated parts of spinous processes even after 11 years.…”

Section: Discussioncontrasting

confidence: 46%

Multiple cervical spinous process fracture (clay shoveler fracture): Case report

Ayanoğlu¹,

Ataoğlu²,

Özer³

et al. 2017

J Turgut Ozal Med Cent

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Clay-Shoveler's is fracture of one or more spinous processes to include lower cervical or upper thoracic vertebrae. In this article, it was aimed to investigate possible mechanisms of Clay-Shoveler's fracture and share radiological results of q case of 11 years (2003) follow-up after the traffic accident. A 25-year-old male patient complained of neck pain spreading to both shoulders, and there was an in-car traffic accident two weeks ago. Patient's motion restriction was 50% for active flexion, lateral flexion and rotation, and 20% for active extension movement. Imaging revealed a minimal inferior displaced avulsion fracture in C6, C7 and T1 vertebra spinous processes. Patient returned to daily activities in 3rd month after immobilization with medical treatment and neck collar. Clay-Shoveler's fracture is most commonly seen in T1, then C7, T2, T3 and C6. Surgical treatment is not planned because patient has no limitation of neck movements and neck pain which responds to medical treatment.

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Section: Discussioncontrasting

confidence: 46%

Multiple cervical spinous process fracture (clay shoveler fracture): Case report

Ayanoğlu¹,

Ataoğlu²,

Özer³

et al. 2017

J Turgut Ozal Med Cent

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“…These fractures are stable, being treated with a cervical immobilization for comfort and pain reduction. [89] However, they can be viewed as a warning sign for more severe spinal injuries. Laminar fractures are also stable injuries in patients without neurologically deficits, but anecdotal cases of laminar fractures after direct trauma leading to neurological deficits are reported, with surgical treatment recommended if canal compression is present.…”

Section: Discussionmentioning

confidence: 99%

Cervical injuries scored according to the Subaxial Injury Classification system: An analysis of the literature

Joaquim

Patel

Vaccaro

2014

J Craniovert Jun Spine

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Introduction:The Subaxial Injury Classification (SLIC) system and severity score has been developed to help surgeons in the decision-making process of treatment of subaxial cervical spine injuries. A detailed description of all potential scored injures of the SLIC is lacking.Materials and Methods:We performed a systematic review in the PubMed database from 2007 to 2014 to describe the relationship between the scored injuries in the SLIC and their eventual treatment according to the system score.Results:Patients with an SLIC of 1-3 points (conservative treatment) are neurologically intact with the spinous process, laminar or small facet fractures. Patients with compression and burst fractures who are neurologically intact are also treated nonsurgically. Patients with an SLIC of 4 points may have an incomplete spinal cord injury such as a central cord syndrome, compression injuries with incomplete neurologic deficits and burst fractures with complete neurologic deficits. SLIC of 5-10 points includes distraction and rotational injuries, traumatic disc herniation in the setting of a neurological deficit and burst fractures with an incomplete neurologic deficit.Conclusion:The SLIC injury severity score can help surgeons guide fracture treatment. Knowledge of the potential scored injures and their relationships with the SLIC are of paramount importance for spine surgeons who treated subaxial cervical spine injuries.

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“…1 In addition to routine cervical radiographs, delayed flexion-extension radiographs after the muscle spasm is resolved for unmasking instability, 5 and computerized tomography or MRI for ruling out concurrent spinal pathologies and for assessing posterior thoracic elements 3 are also recommended in these patients. 1 In addition to routine cervical radiographs, delayed flexion-extension radiographs after the muscle spasm is resolved for unmasking instability, 5 and computerized tomography or MRI for ruling out concurrent spinal pathologies and for assessing posterior thoracic elements 3 are also recommended in these patients.…”

Section: Discussionmentioning

confidence: 99%