Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae)
Clay-shoveler's fracture is an avulsion fracture of one or more spinous processes of the lower cervical and/or upper thoracic vertebra. The site of fracture is most commonly C6, C7 or T1 but it occurs rarely at multiple levels. More often the mechanism is a combination of direct impact and hype...
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ftdoajarticles:oai:doaj.org/article:c8fd9fb20bf64727a8a812677a3945c7 2023-05-15T18:19:24+02:00 Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) Ali Akhaddar Cherkaoui Mandour 2013-12-01T00:00:00Z https://doi.org/10.11604/pamj.2013.16.128.3531 https://doaj.org/article/c8fd9fb20bf64727a8a812677a3945c7 EN FR eng fre The Pan African Medical Journal https://www.panafrican-med-journal.com/content/article/16/128/pdf/128.pdf https://doaj.org/toc/1937-8688 1937-8688 doi:10.11604/pamj.2013.16.128.3531 https://doaj.org/article/c8fd9fb20bf64727a8a812677a3945c7 The Pan African Medical Journal, Vol 16, Iss 128 (2013) clay-shoveler fractures vertebra spine Medicine R article 2013 ftdoajarticles https://doi.org/10.11604/pamj.2013.16.128.3531 2022-12-31T00:56:43Z Clay-shoveler's fracture is an avulsion fracture of one or more spinous processes of the lower cervical and/or upper thoracic vertebra. The site of fracture is most commonly C6, C7 or T1 but it occurs rarely at multiple levels. More often the mechanism is a combination of direct impact and hyperflexion of the neck. It concerns healthy individuals with no history of prior disease. These injuries are known to be stable but painful at the cervicothoracic site without neurological symptoms. In most patients, immobilization of the neck with a cervical collar and restriction of physical activity for 1 to 2 months frequently result in pain relief. This 29-year-old woman was admitted following a road traffic accident. She had severe neck and posterior thoracic pain with radiation to the bilateral shoulder regions. Physical examination revealed tenderness over the posterior cervicothoracic spine without neurological deficit. Computed Tomography (CT) scan of the spine revealed isolated fractures of the spinous processes interesting eleven adjacent levels from C6 to T9 spinal vertebrae without any other traumatic bony lesions. Conservative treatment was administered (analgesic therapy and muscle relaxant) and immobilization was maintained for 6 weeks followed by a good outcome. Article in Journal/Newspaper Shoveler Directory of Open Access Journals: DOAJ Articles Pan African Medical Journal 16 |
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clay-shoveler fractures vertebra spine Medicine R |
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clay-shoveler fractures vertebra spine Medicine R Ali Akhaddar Cherkaoui Mandour Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) |
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clay-shoveler fractures vertebra spine Medicine R |
description |
Clay-shoveler's fracture is an avulsion fracture of one or more spinous processes of the lower cervical and/or upper thoracic vertebra. The site of fracture is most commonly C6, C7 or T1 but it occurs rarely at multiple levels. More often the mechanism is a combination of direct impact and hyperflexion of the neck. It concerns healthy individuals with no history of prior disease. These injuries are known to be stable but painful at the cervicothoracic site without neurological symptoms. In most patients, immobilization of the neck with a cervical collar and restriction of physical activity for 1 to 2 months frequently result in pain relief. This 29-year-old woman was admitted following a road traffic accident. She had severe neck and posterior thoracic pain with radiation to the bilateral shoulder regions. Physical examination revealed tenderness over the posterior cervicothoracic spine without neurological deficit. Computed Tomography (CT) scan of the spine revealed isolated fractures of the spinous processes interesting eleven adjacent levels from C6 to T9 spinal vertebrae without any other traumatic bony lesions. Conservative treatment was administered (analgesic therapy and muscle relaxant) and immobilization was maintained for 6 weeks followed by a good outcome. |
format |
Article in Journal/Newspaper |
author |
Ali Akhaddar Cherkaoui Mandour |
author_facet |
Ali Akhaddar Cherkaoui Mandour |
author_sort |
Ali Akhaddar |
title |
Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) |
title_short |
Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) |
title_full |
Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) |
title_fullStr |
Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) |
title_full_unstemmed |
Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) |
title_sort |
multiple contiguous cervicothoracic clay-shoveler's fractures (from c6 to t9 spinal vertebrae) |
publisher |
The Pan African Medical Journal |
publishDate |
2013 |
url |
https://doi.org/10.11604/pamj.2013.16.128.3531 https://doaj.org/article/c8fd9fb20bf64727a8a812677a3945c7 |
genre |
Shoveler |
genre_facet |
Shoveler |
op_source |
The Pan African Medical Journal, Vol 16, Iss 128 (2013) |
op_relation |
https://www.panafrican-med-journal.com/content/article/16/128/pdf/128.pdf https://doaj.org/toc/1937-8688 1937-8688 doi:10.11604/pamj.2013.16.128.3531 https://doaj.org/article/c8fd9fb20bf64727a8a812677a3945c7 |
op_doi |
https://doi.org/10.11604/pamj.2013.16.128.3531 |
container_title |
Pan African Medical Journal |
container_volume |
16 |
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1766196464987406336 |