![]() ![]() This study confirms that isolated TPFs of the subaxial cervical spine can be considered as clinically insignificant and do not require treatment. Unrestricted movement resulted in satisfying functional, anatomic, and neurologic outcomes without associated adverse events. The incidence of isolated TPFs of the subaxial cervical spine was 2.4%. Follow-up showed a stable and intact subaxial cervical spine in all patients' radiographs, a patient satisfaction of 9.3 (SD 1.48), a Cybex measured range of motion in the sagittal plane of 109 degrees (SD 12.5, 95-129), the frontal plane of 70 (SD 17.8, 37-100) and the transverse plane of 144 (SD 12.5, 116-164), and a mean neck disability index score of 3.93 (SD 8.24). A fracture of the transverse process (TP) of the fifth lumbar vertebra is an indicator of an unstable pelvic ring injury.5-7 The iliolumbar ligament arises from. A follow-up of 13 to 39 months was available in 14 patients. No associated adverse events were observed. The initial treatment regimen was unrestricted movement in all patients. If its bothersome, and confirmed that the pain is not from another source, then they can excise the fragment. The seventh vertebra was involved predominantly (76%). What are options for transverse process fracture in l1&l2 that have not healed after one year caused by traumatic fall. Of 865 enrolled patients, 21 patients (2.4%) had 25 isolated TPFs of the subaxial cervical spine. For each enrolled patient, gender, age, mechanism of injury, trauma severity, neurologic deficit, injury levels, affected structures, treatment, radiographic follow-up, functional outcome (Cybex goniometer, neck disability index), and patient satisfaction (10 point visual analog scale) were recorded. This depends on where the fracture happened and how severe it is. Your healthcare provider will give you specific instructions. Treatment progresses as pain subsides, meaning you can begin to take on more activity as discomfort fades. Patients with isolated TPFs of the subaxial cervical spine were prospectively identified. Drugs A transverse process fracture is a break or crack in the back part of a vertebra. Normal treatment routines involve rest and pain medications, and a back brace is sometimes used to stabilize the spine and limit discomfort from movement. However, this hypothesis is based on clinical experience and has never been supported by research previously.ĭuring a 32-month period, routine computed tomography scans of the spine were obtained in high-energy blunt trauma patients. Here is a listing of the common types that may happen: Greenstick. The bone is broken, but the skin is intact. To analyze the incidence, associated injuries, treatment outcomes and associated adverse events of isolated transverse process fractures (TPFs) of the subaxial cervical spine in a high-energy blunt trauma population.Ĭurrently, TPFs of the subaxial cervical spine are considered to be clinically insignificant. Closed fracture (also called simple fracture). ![]()
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