Spinous process fracture
Introduction
Introduction to spinous process fracture Spinous process fracture is caused by cervical vertebrae. Simple spinous process fractures are rare, often with vertebral body or other accessory fractures. It is more common with c6 to T1 spinous processes. Common shovel geotechnical workers and miners, also known as "shovel" fractures. Under violent flexion, cervical spine processes and muscle-resistant traction cause axonal avulsion fractures. Vertical compression violence can also cause longitudinal fractures of the spine, causing the spinous processes to be sagittal, but this is not common. Spinous process fractures occur mostly above the base of the spinous process. The fractures associated with interspinous ligament and ligament tear damage do not involve the spinal canal and intervertebral holes. Very few spinal cord and nerve root damage. basic knowledge The proportion of sickness: 0.1% - 0.5% Susceptible people: no special people Mode of infection: non-infectious Complications: fracture
Cause
Cause of spinous process fracture
The site of the spinous process fracture is mostly above the base of the spinous process. When the fracture is accompanied by the interspinous ligament and the ligament tear, the avulsion fracture and the spinous process of the lower spine are arranged in sequence and separated from the lower spinous process. The injury does not involve the spinal canal and intervertebral foramen, nor is it associated with nerve damage. Due to cervical vertebrae caused by overflexion. When the head and neck are hit by heavy objects, the cervical vertebra suddenly bucks, and the spinous processes and muscles under the force application point are strongly resistively pulled, causing the axonal avulsion fracture, and the shovel is suddenly forced to shake the shovel. Excessive fierce, causing severe contraction of the scapular muscles and inconsistent contraction with the trapezius muscle causes spinous process fractures. Can be one or two cervical spine fractures.
Prevention
Spinous process fracture prevention
Cervical spondylotic myelopathy should be treated early, with no purpose delay to cause irreversible spinal cord injury. With the improvement of surgical techniques, the ability to avoid surgery risks has been increasing, and more and more patients with cervical spondylotic myelopathy have undergone surgery. Direct cervical resection of the anterior cervical canal from the pressure of the chest of the chronic cervical spinal cord compression is by far the most effective treatment. Degeneration-induced spinal cord compressions, such as degeneration, prominent intervertebral discs, callus, posterior longitudinal ligament and its adhesion zone, are direct targets of surgery and must be completely removed. Direct removal of the inflamed material, the spinal cord obtained by the reduced blood supply may be improved and improved or compensated.
Complication
Spinous process fracture complications Complications
Local hematoma, bulging, tenderness and obvious bone rubbing. Attention should be paid to the fracture of the cervical vertebrae or the fracture of the lamina.
Symptom
Spinous process fracture symptoms common symptoms head and neck activity limited spinous process tenderness subcutaneous hematoma
The tenderness at the fracture site, local pain, swelling and limited cervical vertebra activity can reach the spinous process and visible subcutaneous congestion.
Examine
Examination of spinous process fractures
Spinous process fractures: There are three types of spinous process fractures: longitudinal fracture from the root or central weak section; transverse cleft palate is the upper and lower halves;
Diagnosis
Diagnosis and diagnosis of spinous process fracture
diagnosis
The fracture line of the spinous process fracture is from oblique to downward. The spinous process of the fracture is displaced downward and separated from the superior spinous process. The most common is a concurrent fracture of a cervical spine fracture. Often ligament muscle pull can cause a single fracture during abrupt activity. Such as shoveling the soil, the sudden shoulders and back sounds and pain.
Differential diagnosis
The most common is a concurrent fracture of a cervical spine fracture. Often ligament muscle pull can cause a single fracture during abrupt activity. Such as shoveling the soil, the sudden shoulders and back sounds and pain.
