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...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Pan African Medical Journal
2013-12-01
|
| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/16/128/pdf/128.pdf
|
| _version_ | 1818500492881297408 |
|---|---|
| author | Ali Akhaddar Cherkaoui Mandour |
| author_facet | Ali Akhaddar Cherkaoui Mandour |
| author_sort | Ali Akhaddar |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-10T20:43:26Z |
| format | Article |
| id | doaj.art-c8fd9fb20bf64727a8a812677a3945c7 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-10T20:43:26Z |
| publishDate | 2013-12-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-c8fd9fb20bf64727a8a812677a3945c72022-12-22T01:34:19ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882013-12-011612810.11604/pamj.2013.16.128.35313531Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae)Ali Akhaddar0Cherkaoui Mandour1 Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco Department of Neurosurgery, Mohammed V Military Teaching Hospital,University of Mohammed V Souissi, Rabat, Morocco 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. https://www.panafrican-med-journal.com/content/article/16/128/pdf/128.pdf clay-shoveler fracturesvertebraspine |
| spellingShingle | Ali Akhaddar Cherkaoui Mandour Multiple contiguous cervicothoracic Clay-shoveler's fractures (From C6 to T9 spinal vertebrae) The Pan African Medical Journal clay-shoveler fractures vertebra spine |
| title | 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_short | 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 |
| topic | clay-shoveler fractures vertebra spine |
| url |
https://www.panafrican-med-journal.com/content/article/16/128/pdf/128.pdf
|
| work_keys_str_mv | AT aliakhaddar multiplecontiguouscervicothoracicclayshovelersfracturesfromc6tot9spinalvertebrae AT cherkaouimandour multiplecontiguouscervicothoracicclayshovelersfracturesfromc6tot9spinalvertebrae |