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Case Reports in Orthopedics
Volume 2015, Article ID 921526, 3 pages
Case Report

Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USA

Received 29 January 2015; Accepted 8 June 2015

Academic Editor: Takui Ito

Copyright © 2015 Jacob M. Kirsch et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Isolated thoracic spinous process fractures involving multiple adjacent vertebral segments are a rare occurrence in the setting of high-energy trauma. These findings should prompt further investigation to exclude other concomitant osseous or ligamentous injuries. Evaluation by computed tomography is often most useful to detect these fractures. Proper treatment of extensive multilevel injury is poorly defined in the literature. In our experience, conservative management consisting of initial bracing with graduated lifting restrictions has produced excellent functional results.