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Contiguous multiple cervicothoracic spinous process fractures in an adult: A case report
Authors:Gaurav Kumar Upadhyaya  Ajay Shukla  Vijay Kumar Jain  Skand Sinha  RK Arya  Ananta Kumar Naik
Institution:1. Department of Orthopaedics, Hospital Pelhřimov, Czech Republic;2. Czech Technical University in Prague, Faculty of Biomedical Engineering, Department of Medicine and Humanities, Kladno, Czech Republic;3. Czech Technical University in Prague, Faculty of Mechanical Engineering, Laboratory of Biomechanics, Prague, Czech Republic;4. Department of Orthopaedics and Traumatology, Third Medical Faculty of Charles University and University Hospital Královské Vinohrady, Prague, Czech Republic;1. Department of Chemical and Biomolecular Engineering, Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, United States;2. Department of Materials Science and Engineering, Johns Hopkins University, Baltimore, MD 21218, United States;1. Senior Resident, Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;2. Professor, Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;3. Additional Professor, Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;1. Harris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts;2. Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts;3. Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York;4. Department of Orthopaedic Surgery, Sportsmed.SA, Stepney, South Australia;1. Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japan;2. Department of Sports Medicine and Orthopaedic Surgery, Showa University Fujigaoka Rehabilitation Hospital, 2-2-1 Fujigaoka, Aoba-ku, Yokohama 227-8518, Japan;1. Service de médecine gériatrique, GH Paris Nord Val-de-Seine, Assistance publique–Hôpitaux de Paris (AP–HP), site Bretonneau, 23, rue Joseph-de-Maistre, 75018 Paris, France;2. Service de soins de suite et réadaptation orthogériatrique, GH Pitié-Salpétriêre–Charles-Foix, Assistante publique–Hôpitaux de Paris (AP–HP), site Charles-Foix, 7, avenue de la République, 94205 Ivry s/Seine, France;3. Service de gériatrie, hôpital Simone-Veil-Eaubonne, 14, rue de Saint-Prix, 95602 Eaubonne, France;4. DHU FAST–Fight Ageing and Stress, Sorbonne Universités UPMC Univ Paris 6, Paris, France
Abstract:Fracture of isolated spinous processes at multiple levels is a rare injury. Herein, we present a 45-year-old male with cervical pain and swelling following a road traffic accident. Computerized tomography and magnetic resonance imaging revealed fractures of spinous process from C7 to D6 vertebra. The patient was managed with rest, analgesics and immobilization. At the 1-year follow-up, the patient is doing well without any neurological problem.
Keywords:Spinous process  Clay shoveler's fracture  Multiple  Magnetic resonance imaging
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