Cervical spinous process fracture: Difference between revisions
(Text replacement - "fx" to "fracture") |
(Text replacement - "f/u" to "follow up") |
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*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]] | *Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]] | ||
*Non-operative | *Non-operative | ||
**Collar for 10 days with ortho | **Collar for 10 days with ortho follow up | ||
==Disposition== | ==Disposition== | ||
Revision as of 12:44, 13 July 2016
Background
- Also known as "Clay shoveler's" fracture
- A cervical spinous process fracture
- Stable
Clinical Features
- C7>C6>T1 avulsion fracture; ; caused by extreme muscle flexion where spinous process is ‘pulled off’
- Isolated fracture of the spinous processes of the lower cervical vertebrae
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Workup
- r/o lamina and facet fracture, r/o jumped facet
Management
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
- Non-operative
- Collar for 10 days with ortho follow up
Disposition
- Outpatient