$c7 transverse process fracture$

C7 Transverse Process Fracture: A Rare Injury

In this report, we present a case of a 39-year-old male who suffered a C7 transverse process fracture as a result of a car accident. The mechanism of injury is believed to have been avulsion stress caused by abrupt flexion and hyperextension of the cervical spine.

Historically, such fractures have been associated with certain occupations, known as 'clay-shovelers' fractures'. These injuries can occur due to trauma, surgery, neoplasm, or stress fracture. In this case, the patient presented with dorsal pain, a palpable crepitus, and paravertebral muscle spasm.

Computed Tomography (CT) scans confirmed the presence of multiple fractures, including those of the spinous process of C7 to T1, as well as the posterior arch of the first right rib. A lateral film of the thoracic spine obtained in the emergency department was inadequate, but a detailed neurological examination revealed no abnormal findings.

$c7 transverse process fracture$

The patient received pain relief and was fitted with a Minerva jacket for one week before being discharged from hospital four days later. Five years after the initial injury, the patient returned to medical attention due to ongoing symptoms. A review of his CT scans showed malunion of C7, which had healed at T1, as well as nonunion of the spinous process of T1 and C6-C7 osteoarthritis.

This case highlights the importance of a thorough physical examination, including tender points over the upper thoracic spine. It also underscores the need for prompt medical attention in cases of suspected spinal injury to ensure proper diagnosis and treatment.

$c7 transverse process fracture$