Radiology Teaching Files > Case 2856924

Contributed by: Fritsch & Thompson, Radiologist, Diagnostic Radiology of Houston, Texas, USA.
Patient: 22 year old male
History: Acute neck pain following fracture. R/O fracutre.

Fig. 1: Lateral cervical spine

Fig. 2: Close-up lateral C6 & C7 spinouses.

Fig. 3: Flexion lateral.

Fig. 4: FSE T1 Sagittal.

Fig. 5: FSE T2 sagittal.
Findings: 2 avulsion fractures of the C6 & C7 spinous process are seen. But these are not acute since they have sclerotic margins indicative of chronic non-union avulsion fractures. No other fractures are seen.
Diagnosis: Chronic non-union clay shoveler (avulsion) fractures of C6 & C7.
References: Ref. Physician: Dennis Brando, DC
These spinous process fractures, by themselves, do not require surgical intervention-acute or chronic. Flexion and Extension lateral xray, as well as MRI, can rule out ligamentous injuries which results in instabilities requiring surgical intervention. Peter J. Yeh, MD. Bellaire, TX.--Peter Yeh, 2005-10-28
Additional Details:

Case Number: 2856924Last Updated: 2011-06-16
Anatomy: Spine and Peripheral Nervous System   Pathology: Trauma
Modality: Conventional Radiograph, MRAccess Level: Readable by all users
Keywords: cervical spine, fractures, avulsion, c6,c7, clay shoveler's

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please contact us.