Multiple isolated thoracic spinous process fractures (Clay-Shoveler’s fracture)

Contiguous multiple cervicothoracic spinous process fractures in an adult: A case report

“…[1][2][3] These are the avulsion type of injury due to stress on the interspinous ligaments attached to the spinous process. These injuries are rare and usually occur due to trauma or as stress fractures in sports-related injuries.…”

Six-level isolated spinous process fracture of the thoracic vertebrae (clay-shoveler′s fracture) and a review of the literature

“…[2,4,5,[8][9][10][11][12] They occur secondary to stress forces exerted by muscles and ligaments that are transmitted through the supraspinous ligaments. [3,4,6,8,9] Isolated spinous process fractures are mostly described at one level. Multi-level isolated spinous process fractures are extremely rare.…”

“…This is usually without any neurological deficit. [2][3][4][5]7,10] If the fracture extends into the vertebral body, pedicle or lamina, concomitant spinal cord compression or instability may be detected. The fracture may characteristically be indicative of thorax, kidney or liver trauma ıf the mode of injury is severe such as sustained in an automobile or a climbing accident.…”

“…The major complaint of patients having an isolated spinous process fracture is local pain that is usually resolved with a conservative approach. [2][3][4][5] Multi-level spinous process fractures are extremely rare in literature. [2,3,[5][6][7][8][9] We report a six-level isolated spinous process fracture of the thoracic spine.…”

Grøftegraverfraktur

“…This type of fracture is relatively uncommon today, and is probably a frequently overlooked injury that is mainly associated with traffic accidents. Multilevel fractures (> 5) are very rare, and to our knowledge only two cases have been reported previously in the literature (2). Fractures may occur as a result of a direct blow to the spinous process or as a result of indirect trauma.…”