Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma

Isolated thoracic spinous process fractures involving multiple adjacent vertebral segments are a rare occurrence in the setting of high-energy trauma. These findings should prompt further investigation to exclude other concomitant osseous or ligamentous injuries. Evaluation by computed tomography is...

Full description

Saved in:
Bibliographic Details
Main Authors: Jacob M. Kirsch, Amit Nathani, Rakesh D. Patel
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/921526
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849399248804642816
author Jacob M. Kirsch
Amit Nathani
Rakesh D. Patel
author_facet Jacob M. Kirsch
Amit Nathani
Rakesh D. Patel
author_sort Jacob M. Kirsch
collection DOAJ
description Isolated thoracic spinous process fractures involving multiple adjacent vertebral segments are a rare occurrence in the setting of high-energy trauma. These findings should prompt further investigation to exclude other concomitant osseous or ligamentous injuries. Evaluation by computed tomography is often most useful to detect these fractures. Proper treatment of extensive multilevel injury is poorly defined in the literature. In our experience, conservative management consisting of initial bracing with graduated lifting restrictions has produced excellent functional results.
format Article
id doaj-art-9c42958b1d4a49e3b823afb080a2bb52
institution Kabale University
issn 2090-6749
2090-6757
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-9c42958b1d4a49e3b823afb080a2bb522025-08-20T03:38:23ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/921526921526Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy TraumaJacob M. Kirsch0Amit Nathani1Rakesh D. Patel2Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USADepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USADepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USAIsolated thoracic spinous process fractures involving multiple adjacent vertebral segments are a rare occurrence in the setting of high-energy trauma. These findings should prompt further investigation to exclude other concomitant osseous or ligamentous injuries. Evaluation by computed tomography is often most useful to detect these fractures. Proper treatment of extensive multilevel injury is poorly defined in the literature. In our experience, conservative management consisting of initial bracing with graduated lifting restrictions has produced excellent functional results.http://dx.doi.org/10.1155/2015/921526
spellingShingle Jacob M. Kirsch
Amit Nathani
Rakesh D. Patel
Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma
Case Reports in Orthopedics
title Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma
title_full Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma
title_fullStr Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma
title_full_unstemmed Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma
title_short Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma
title_sort multiple adjacent isolated thoracic spinous process fractures in high energy trauma
url http://dx.doi.org/10.1155/2015/921526
work_keys_str_mv AT jacobmkirsch multipleadjacentisolatedthoracicspinousprocessfracturesinhighenergytrauma
AT amitnathani multipleadjacentisolatedthoracicspinousprocessfracturesinhighenergytrauma
AT rakeshdpatel multipleadjacentisolatedthoracicspinousprocessfracturesinhighenergytrauma