Spinous process fracture
Spinous process fractures are caused by cervical flexion. Simple spinous process fractures are rare and often associated with vertebral body or other accessory fractures. C6 to T1 spinous processes are more common. Fractures are common in shovel and miners, also known as "shovel" fractures. Under violent flexion, the spinous process of the cervical spine and muscles are pulled against the spinous process with avulsion fractures. Vertical compression violence can also cause longitudinal split fractures of the spine, causing spinous processes to split along the sagittal, but this is not common. Spinous process fractures mostly occur above the base of the spinous process. Fractures are accompanied by tears between the interspinous ligament and the ligamentum ligament, which do not involve the spinal canal and the foramen. Rarely with spinal cord and nerve root injuries.
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