Spinous Process Fracture
by
Cynthia M. Johnson, MA DefinitionA spinous process fracture is a break in a part of the spinal bone. This part of the bone is located toward the back of each spinal bone.
CausesThese fractures are caused by trauma from:
Risk FactorsOlder adults are at higher risk. Things that may increase the chance of a spinous process fracture are:
SymptomsThese fractures can happen at any place in the spinal column. They may cause:
Unstable fractures may cause damage to the spinal cord. This can result in temporary or permanent paralysis. DiagnosisThe doctor will ask about your symptoms and health history. You will also be asked how the injury happened. A physical exam will be done. It will also look for nerve damage. Images may be taken to look at your spine. This can be done with: TreatmentTreatment will depend on how severe the injury is. It may take weeks or months to heal. Bone SupportThe spine may need to be supported as it heals. This can be done with:
SurgeryPeople with a severe fracture may need surgery. Screws, rods, wires, or cages will be used to reconnect bone pieces and hold them in place. RehabilitationRehabilitation may be needed. It will include exercises to keep muscles strong and help with range of motion. PreventionMost fractures happen due to accidents. Healthy bones and muscles may help prevent injury. This may be done through diet and exercise. RESOURCES:National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org CANADIAN RESOURCES:Canadian Orthopaedic Foundation http://www.canorth.org Spinal Cord Injury Canada http://sci-can.ca References:Fractures of the thoracic and lumbar spine. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: ...(Click grey area to select URL) Updated September 2015. Accessed September 19, 2019. Marek AP, Morancy JD, et al. Long-Term Functional Outcomes after Traumatic Thoracic and Lumbar Spine Fractures. Am Surg. 2018 Jan 1;84(1):20-27.
Spinal trauma—emergency management. EBSCO DynaMed website. Available at:
https://www.dyname.... Accessed September 19, 2019.
Spinal fractures. Department of Neurology University of Florida website. Available at: ...(Click grey area to select URL) Accessed September 19, 2019. Last reviewed September 2019 by
EBSCO Medical Review Board
Teresa Briedwell, PT, DPT, OCS, CSCS Last Updated: 5/6/2020 |
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