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Isolated Transverse Process Fractures: A Systematic Analysis.

Daniel T Nagasawa1, Timothy T Bui1, Carlito Lagman1

  • 1Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.

World Neurosurgery
|January 22, 2017
PubMed
Summary
This summary is machine-generated.

Conservative management of isolated transverse process fractures (ITPFs) leads to complete resolution without neurologic deficits or spinal instability. Further research is needed to identify potentially erroneous ITPF diagnoses.

Keywords:
ReviewSpine traumaTransverse process fractures

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Area of Science:

  • Orthopedics
  • Spine Surgery
  • Traumatology

Background:

  • Isolated transverse process fractures (ITPFs) are a subset of vertebral column injuries.
  • Current management often involves conservative approaches, but evidence requires synthesis.

Purpose of the Study:

  • To conduct a literature review on ITPFs.
  • To evaluate the efficacy of conservative management for ITPFs.

Main Methods:

  • A systematic search of the PubMed database was performed for studies on ITPFs.
  • Data extracted included patient demographics, fracture characteristics, management strategies, and outcomes.
  • Statistical analysis utilized n-1 Pearson chi-squared tests.

Main Results:

  • Four studies involving 398 patients and 819 ITPFs were analyzed.
  • Motor vehicle accidents were the most common cause, particularly in pediatric patients.
  • No patients experienced neurologic deficits, and no spinal instability or deformity was reported.

Conclusions:

  • Nonsurgical management of ITPFs results in complete fracture resolution and no permanent neurologic deficits or spinal instability.
  • The paucity of long-term outcome data limits interpretation.
  • Findings support conservative management while highlighting the need to identify potentially misdiagnosed ITPFs.