Presentation 50 years-old male with neck pain after shovelling snow. Patient Data Age: 55 Gender: Male Lateral x-ray shows spinous process fractures from C3 to C5. Bilateral fracture of C6 laminae. The patient is wearing a cervical collar. [radiopaedia.org]

He presented to a direct-access physical therapy clinic. [ncbi.nlm.nih.gov]

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]

The patient may present with radicular signs and symptoms due to root compression. Depending on severity of presentation either conservative or operative management will be needed. [posna.org]

Conversely, in the two patients presented above, the region of injury was limited to the thoracic spine, thereby precluding the biomechanical forces acting at the cervicothoracic junction. [hindawi.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]

  Case Report A 47-year-old man was admitted to our emergency department with back pains, after a 7 m-fall injury. He complained of severe back pains of visual analog scale (VAS) score 8, and had no past medical history. [ncbi.nlm.nih.gov]

• Neurogenic Claudication

  STUDY DESIGN/SETTING: Prospective cohort study of 39 consecutive patients with lumbar stenosis and neurogenic claudication undergoing IPS surgery at a single institution. [ncbi.nlm.nih.gov]

  Kim, M.D., 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]

• Paravertebral Muscle Spasm

  Because he complained of dorsal pain with a palpable crepitus and paravertebral muscle spasm, a cervicodorsal CT examination was performed. [labome.org]

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

• Cervical Spine X-Ray

  Figure 1: (a) X-ray cervical spine (lateral view) showing shoulder shadow obscuring fracture vertebrae; (b) computed tomography (CT) cervical spine showing contiguous fracture of the spinous process of C-6 to D-4 vertebae; (c) axial section of CT cervical [neurologyindia.com]

  Initial cervical spine X-rays showed an isolated spinous process fracture C-7 vertebra (Figure 1). In the lateral dynamic flexion-extention views, the bone fragments and vertebral body were not mobile and stable. [synapse.koreamed.org]

Nonoperative NSAIDS, rest, immobilization in hard collar for comfort indications most common treatment for pain control modalities short term treatment with hard collar outcomes usually high union rates and excellent clincal outcomes Operative surgical [orthobullets.com]

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]

Surgical excision of the spinous process fragment is the treatment of choice in these symptomatic patients who are refractory to nonoperative management. [hindawi.com]

Comparison of Anterior Versus Posterior Approach in the Treatment of Thoracolumbar Fractures: A Systematic Review. Int Surg. 2015 Jun;100(6):1124-33. [danielebarnabei.it]

[…] usually occurs midway between the spinous tip and lamina risk factors labourers racket or contact sports motor vehicle accidents Associated conditions usually occurs in isolation other orthopaedic injuries to consider lamina fracture facet dislocations Prognosis [orthobullets.com]

[…] 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 prognosis for SCA6 and SCA11 is less severe with a very slow worsening of symptoms, and persons with SCA8 and SCA11 have a normal lifespan. [secure.ssa.gov]

Here, we'll report the case of a sports-related cervical spinous process fracture with a discussion on the causative mechanism, treatment and prognosis. Case Report A 37-year-old man had a sudden lower posterior neck pain. [synapse.koreamed.org]

Disease progression and severity often depend on the type of SCA.[1] Most available information on the prognosis of SCA is based on the four most common types: SCA1, SCA2, SCA3 and SCA6. [rarediseases.info.nih.gov]

[…] and multiple body system manifestations due to the underlying etiology. [icd10data.com]

[…] 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]

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]

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]

Epidemiology of Vertebral Fractures. J Clin Densitom. Jan-Mar 2016;19(1):8-22. Kevin Phan, Prashanth J Rao, Ralph J Mobbs. [danielebarnabei.it]

Introduction Avulsion-type spinous process fracture in the lower cervical or upper thoracic spine Epidemiology incidence rare demographics direct trauma to posterior spinous process indirect trauma sudden muscular/ligamentous pull in flexion or extension [orthobullets.com]

[…] 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]

The understanding of pathophysiology and molecular mechanisms of SCAs requires multidisciplinary approaches ranging from molecular, cellular biology, proteomic and transcriptomic analysis, cerebellar physiology, medicinal chemistry, transgenic model animal [frontiersin.org]

Clinical, genetic, molecular, and pathophysiological insights into spinocerebellar ataxia type 1. Cerebellum. 2008;7(2):106-14. doi: 10.1007/s12311-008-0009-0. Review. Zoghbi HY, Orr HT. [ghr.nlm.nih.gov]

The anatomy and pathophysiology of neck pain. Phyl MedRehabilClin N Am 2011;22:367-82. Bovim G, Schrader H, and Sand T. Neck pain in the general population. Spine (Phila Pa 1976) 1994;19:1307-9. Cote P, Cassidy JD, and Carroll LJ et al. [jkspm.org]

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]

Moreover, the thick and avascular cortex of the lamina is supposed to prevent intravascular migration of the cement. [ajnr.org]

Treatments There are no treatments for SCA2, but technical aids can help prevent falls. Occupational therapy, physiotherapy, and speech therapy can be done in order to limit functional losses and to prevent certain complications. [lacaf.org]

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]

Prevention Most fractures happen due to accidents. Healthy bones and muscles may help prevent injury. This may be done through diet and exercise. [winchesterhospital.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]