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Spinous Process Fracture

Fracture of Spinous Process of Vertebra


Presentation

  • He presented to a direct-access physical therapy clinic.[ncbi.nlm.nih.gov]
  • Advice from a forensic pathologist using CT images in daily practice Drawn from the author’s work at the Victorian Institute of Forensic Medicine, the book presents an overview of his experience with CT in routine casework, provides an appraisal of the[books.google.com]
  • The vast majority of patients presenting with a concussion do not require any imaging – and do not have any structural abnormalities. However, it is essential that you consider whether there has been an associated cervical spine injury.[axissportsmedicine.co.nz]
  • Grasp and apply the latest knowledge from more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters to present all of the most up-to-date information available on every aspect of spine surgery[books.google.com]
  • The advice presented has not been peer reviewed by Spine-health’s medical advisory board.[spine-health.com]
Back Pain
  • Recommended Articles: When Back Pain Is a Spine Compression Fracture Managing and Preventing Spine Fractures Multiple Compression Fractures In Spine-health’s Doctor Advice section, physicians respond to frequently asked questions about back pain issues[spine-health.com]
  • pain and psychosocial interactions, biomechanics, and more.[books.google.com]
  • Moderate back pain was always present, similar in characteristics and intensity to what was usually observed in Aperius cases.[ajnr.org]
  • Low-back pain in athletes. J Bone Joint Surg Am . 2004; 86:382–396. Hosalker H, Dormans J. Back pain in children requires extensive workup. Biomechanics . 2003; 10:51–58. Sassmannshausen G, Smith BG. Back pain in the young athlete.[healio.com]
Neurogenic Claudication
  • Prospective cohort study of 39 consecutive patients with lumbar stenosis and neurogenic claudication undergoing IPS surgery at a single institution.[ncbi.nlm.nih.gov]
  • ., from the Tufts University School of Medicine in Boston, and colleagues prospectively studied 39 consecutive patients with lumbar stenosis and neurogenic claudication undergoing IPS surgery.[medicalxpress.com]
  • ABBREVIATIONS: AP anteroposterior FEM finite element method/analysis FSU functional spinal unit INC intermittent neurogenic claudication IQR interquartile range LL laterolateral PMMA polymethylmethacrylate INC is the typical clinical manifestation of[ajnr.org]
Decreased Muscle Mass
  • Other factors that may increase the chance of a spinous process fracture includes: Osteoporosis Certain diseases or conditions that weaken bones, such as tumors or cysts Decreased muscle mass Activities or accidents often linked to these fractures include[winchesterhospital.org]

Workup

  • As part of the initial workup, plain radiographs and magnetic resonance images (MRI) were obtained.[healio.com]

Treatment

  • The case of a patient with a persistently symptomatic C-2 spinous process fracture that required surgical treatment for pain relief is reported.[ncbi.nlm.nih.gov]
  • Treatment will depend on how serious the fracture is. Treatment and rehabilitation may take months or years, depending on whether or not there is spinal cord or nerve damage.[winchesterhospital.org]
  • Spinous process fracture with associated spine injury: treatment is determined per associated injury.[eorif.com]
  • Comparison of kyphotic alignment change at 12 months after diagnosis within group II was done according to the treatment method.[ncbi.nlm.nih.gov]
  • Often a period of rest will allow a return to activity, although treatment of these fractures hasn’t been clarified.[dralexjimenez.com]

Prognosis

  • […] intestinal and urinary bladder injuries o Since the spinal cord ends at T12-L1, injuries to cord are infrequent but the spinal nerves may be injured resulting in bowel and bladder signs § Those with a kyphosis of less than 15 have a better neurologic prognosis[learningradiology.com]
  • The type of SCI is important in the prognosis and return of function. A complete injury means that there is no function below the level of the injury. This means the absence of any sensation and no voluntary movement.[ana-neurosurgery.com]
  • Good prognosis. Complete spinal cord injury Total absence of sensation and motor function caudal to the level of injury.[radiologyassistant.nl]
  • Case Management and Prognosis Specific correction of offending vertebral subluxations should be accomplished.[chiro.org]
  • Tanpa informasi yang rinci, diagnosis dan prognosis yang tepat tidak mungkin ditentukan. Pemeriksaan rektum harus dilakukan. Cedera spinal termasuk kegawatan.[bedahumum-fkunram.blogspot.com]

Etiology

  • […] encounter for closed fracture See all Unspecified fracture of unspecified vertebra ICD-10 Coding Spinous Process Fracture ICD-9 805 Fracture of vertbral column without spinal cord injury; neural arch, spine, spinous process Spinous Process Fracture Etiology[eorif.com]
  • […] and multiple body system manifestations due to the underlying etiology.[icd10data.com]
  • For instance, serum protein electrophoresis and urine protein electrophoresis tests are ordered to evaluate for multiple myeloma, the most common form of bone cancer in elderly patients and frequent etiology of pathologic compression fractures.[uscspine.com]
  • Etiology: In general, compared with adults, pediatric patients have greater ligamentous flexibility and elasticity, shallower and more horizontal facets, and relative paraspinal muscle immaturity.[posna.org]
  • Subluxation may also be an asymptomatic complicating factor to those etiologic factors mentioned above.[chiro.org]

Epidemiology

  • […] for closed fracture See all Unspecified fracture of unspecified vertebra ICD-10 Coding Spinous Process Fracture ICD-9 805 Fracture of vertbral column without spinal cord injury; neural arch, spine, spinous process Spinous Process Fracture Etiology / Epidemiology[eorif.com]
  • Epidemiology and outcomes of osteoporotic fractures. Lancet 2002 ;359:1761-1767. Based on company data/sales estimates.[back.com]
  • Epidemiology: Fractures of the thoracolumbar spine account for 1% to 2% of all pediatric fractures. The most common cause of pediatric spine trauma is motor vehicle accidents (even when seat belts are used), which lead to 33% to 58% of all injuries.[posna.org]
  • The surgical repair of fractures of the thoracic spine in patients with multiple myeloma is complicated by the multicentric nature of the disease. [ 11 ] Epidemiology Thoracic spinal fractures remain a common component of trauma in the United States and[emedicine.medscape.com]
  • Previously reported spinous process apophyseal injury cases have occurred in the thoracic spine. 2–5 The actual epidemiology in the population is unknown.[healio.com]
Sex distribution
Age distribution

Pathophysiology

  • According to the authors, the differences in sensitivity were significant for both comparisons. [8] Pathophysiology Compression fractures of the thoracic spine occur when a vertical force with or without a flexion or rotational sheer force exceeds the[emedicine.medscape.com]
  • […] pseudosarcomatous” appearance due to its hypercellularity and extensive neovascularization ( Figure 4C ), which may lead to errors in the pathological interpretation of the findings, especially if medical history of repeated trauma is lacking. 8 Embryology and Pathophysiology[healio.com]
  • Haldeman, S: The Pathophysiology of the Spinal Subluxation. In Goldstein M (ed): The Research Status of Spinal Manipulative Therapy. Washington, DC, Government Printing Office, NINCDS Monograph No. 15 DHEW Publication No.[chiro.org]

Prevention

  • Vertebroplasty subgroup in group II did not show benefit even in preventing such kyphotic alignment change, whereas instrumentation subgroup in group II showed lordotic alignment restoration despite more severe kyphotic alignment at the time of injury[ncbi.nlm.nih.gov]
  • Moreover, the thick and avascular cortex of the lamina is supposed to prevent intravascular migration of the cement.[ajnr.org]
  • Recommended Articles: When Back Pain Is a Spine Compression Fracture Managing and Preventing Spine Fractures Multiple Compression Fractures In Spine-health’s Doctor Advice section, physicians respond to frequently asked questions about back pain issues[spine-health.com]
  • Proper treatment can prevent or decrease long-term complications. Treatment will depend on how serious the fracture is. Treatment and rehabilitation may take months or years, depending on whether or not there is spinal cord or nerve damage.[winchesterhospital.org]
  • During these surgical procedures, the surgeon injects a cement mixture into the fractured bone to stabilize the fracture , treat pain, and prevent a spinal deformity from progressing.[columbiaspine.org]

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