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Isolated symptomatic cervical spinous process fracture requiring surgery. Case report.

L F Hirsh¹, L E Duarte, E H Wolfson

¹Division of Neurosurgery, Crozer-Chester Medical Center, Chester, Pennsylvania.

Journal of Neurosurgery

|July 1, 1991

Summary

Isolated cervical spinous process fractures are usually minor. However, one patient experienced persistent pain from a C-2 fracture, necessitating surgery and highlighting complex associated factors.

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Area of Science:

Orthopedics
Neurosurgery
Medical Sociology

Background:

Isolated cervical spinous process fractures are common injuries.
These fractures are typically considered inconsequential with expected full recovery.
Neurological injury is rare in such cases.

Observation:

A case report details a patient with a persistently symptomatic C-2 spinous process fracture.
Conservative treatment failed to resolve the patient's symptoms.
Surgical intervention was required for pain relief.

Findings:

This case highlights that cervical spinous process fractures can lead to persistent symptoms.
Surgical treatment may be necessary for select cases of symptomatic spinous process fractures.

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The literature review reveals significant social, political, and economic factors influencing this condition.

Implications:

Clinicians should consider surgical options for persistent pain from cervical spinous process fractures.
Further research is needed to understand the multifaceted influences on managing these fractures.
This case broadens the understanding of potential complications and management strategies for spinous process fractures.