Lamina fracture treatment

Fracture of a lamina in the cervical spin

  1. a in the cervical spine A significant percentage of the average chiropractor's practice will involve the management of cervical spine injuries from motor vehicle accidents. The inclusion of stress films in the regular cervical series can reduce the possibility of missing an occult fracture or instability
  2. a of the ethmoids or fragmentation of the bones which have remained attached to the medial canthal tendons allows them to splay laterally. and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. The University of Iowa does not.
  3. ar fracture at the cervical spine level with hemiplegia. Early surgical intervention probably provides the better neurological outcome
  4. a fracture is present to release entrapped neural structures, and treated by postural reduction, instrumental angular reduction and stabilization with a long segment transpedicular internal fixators
  5. a. MRI. indications. distraction of the affected level between the affected spinous processes or la
  6. Orbital fractures are a common presentation to ophthalmologists who treat blunt trauma, and fractures of the floor are the most common of all. The fragility of the orbital floor is eloquently considered in a chapter from Ophthalmic Care of the Combat Casualty, coauthored by Dr. Mazzoli. The orbital floor and medial wall, being adjacent to.
  7. a is dangerous because of the increased possibility of nerve damage. Additionally, the pedicles and la

Facial Fracture Management Handbook - Nasoethmoid

The fracture can be assessed with a series of X-rays every few months. Bracing can last for three to four months while the fracture heals, and physical therapy can also be included to maintain and help strengthen the abdominal and back muscles with specific directed exercises Primary outcome was fracture healing regardless of modality in the absence of progressive deformity (i.e., listhesis, kyphosis) and need for further surgery A cervical fracture is a medical emergency that requires immediate treatment. Spine-related trauma may injure the spinal cord and could result in paralysis, so keeping the neck still is critical. If there is any chance of a cervical fracture, the patient's neck should be immobilized (not moved) until medical attention arrives and X-rays can be. Laminectomy is surgery that creates space by removing the lamina — the back part of the vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves Treatment of Spine Fractures Many fractures heal with conservative treatment; however, severe fractures may require surgery to realign the spine. The decision to treat a spinal fracture is based on whether there are any neurological symptoms, such as weakness, and whether the spine is unstable

Complete fracture of the lamina of the sixth cervical

The treatment of burst fractures of the thoracic spine and the thoracolumbar junction has been an area of debate. Surgical advocates have maintained that surgery allows earlier mobilization and return to function, more pain relief, and better correction of any kyphotic deformity that exists. as does fracture morphology. Concomitant lamina. the pediatric spine. Treatment approaches were then sug-gested by the type of fracture. Compression Fractures Compression fractures are the most frequently seen fractures in the lumbar spine and usually occur as a result of an axial compression load in flexion. This is a stable injury in which the posterior column is intact. Spinal cor Clay-shoveler Fractures are an avulsion-type spinous process fracture in the lower cervical or upper thoracic spine. Diagnosis is made with lateral radiographs of the cervical spine. Treatment is usually rest and pain control as the injuries are mechanically stable. Epidemiology Diagnosis and treatment of cauda equina entrapment in the vertical lamina fracture of lumbar burst fractures. Spine (Phila Pa 1976). 1991; 16(8 Suppl):S433-9 (ISSN: 0362-2436) Denis F; Burkus JK. Posterior dural lacerations associated with lumbar burst fractures are caused by impaction of the dural sac into the vertical lamina fracture bilateral lamina and pedicle fracture at C2; usually associated with anterolisthesis of C2 on C3; Extension of the fracture to the transverse foramina should be sought, raising the possibility of vertebral artery injury. Treatment and prognosis. Treatment can be bracing or, more typically, internal fixation. History and etymolog

Fracture of the cervical spine is one of the most dangerous injuries. It can lead to disability or death. The prevalence of such corruption, unfortunately, is increasing. The classification of fractures of the neck The number of such injuries is increasing in accordance with increase in the number of high-speed transport, work at height an During surgical treatment, any reduction maneuver will close the greenstick lamina fracture and crush the entrapped neural elements [11,14]. Therefore, it may be better to explore the greenstick lamina fracture, irrespective of any neural entrapment, before any reduction maneuver is performed RESULTS: Greenstick lamina fracture occurred in 20 (42.5%) of 47 burst fractures. Dural tear was detected in 9 (19%) of 47 burst fractures and was predominantly higher in L3 (6 of 9 burst fractures). According to multiple logistic regression analysis of the data, a 20% increase in the interpedicular distance gives a 79% probability of. A cervical fracture is a break in a vertebra (bone) in your neck. The 7 cervical vertebrae are called C1 through C7. Cervical vertebrae support your head and allow your neck to bend and twist. The vertebrae enclose and protect the spinal cord. Nerves in the spinal cord control your ability to move Management of a patient with a lamina fracture of the sixth cervical vertebra and concomitant subluxation. Join A Class Chiropractic Integrative-Medicine Back-Pain Lower-Back-Pain 2 Les

Lateral Mass Fractures • Lateral mass fracture involves ipsilateral lamina and pedicle • Extension type injury? • Understand the anatomy • Usually surgical treatment • 2 level surgical stabilizatio This procedure removes only a portion of the lamina, typically carving a hole just big enough to relieve the pressure in a particular spot. Laminoplasty. This procedure is performed only on the vertebrae in the neck (cervical spine). It opens up the space within the spinal canal by creating a hinge on the lamina A hangman's fracture is a serious, but treatable injury. called the body, to the lamina. The laminae are the round parts of the vertebrae that surround the spinal canal. The sooner you. Treatment of the L3-L4 motion segment usually involves one or more of the following methods: Medication. Using a back brace after an acute injury, such as fracture, may help promote healing of tissues and prevent further injury. The lamina (area of bone at the back of the vertebra) is removed in order to provide more room for the cauda. Surgical Treatment. Severe cases may require surgery. Vertebroplasty is a new surgical procedure that may be used to treat compression fractures. In this procedure, the surgeon inserts a catheter into the compressed vertebra. The catheter is used to inject the fractured vertebrae with bone cement, which hardens, stabilizing the vertebral column

Lateral mass fracture; Lamina fracture; However, because the Jefferson fracture constitute the most frequent form of the Atlas fractures, and also they pose much more clinical problem than those of the single lateral mass or lamina fractures, the term of Jefferson fracture is frequently used for all Atlas fractures After the identification and treatment of life-threatening injuries, ophthalmologists should rule out serious ocular trauma. Then orbital fractures can be appropriately diagnosed and repaired. Clinical presentations associated with orbital fractures vary in severity depending on the presence of ocular trauma and the location of the fracture There is a projection of bone that connects the body to the lamina, known as the pars interarticularis. In a hangman's fracture, the pars of C2 fractures, or breaks, on both sides. At the same time, the C2 body may move out of position relative to the vertebra below, C3. This is the type of fracture supposedly created by judicial hangings 03.53 Repair of vertebral fracture Open treatment and/or reduction of odontoid fracture(s) • 22318 without grafting • 22319 with grafting Open treatment and/or reduction of vertebral fracture(s) • 22325 lumbar • 22326 cervical • 22327 thoracic 39 Fracture/Dislocation Repair Closed treatment CPT® defines closed treatment of a fracture Futhermore, Denis et al. established the diagnosis and treatment of cauda equina entrapment in the vertical lamina fractures of lumbar burst fractures. However, it is noteworthy that the lamina is a three-dimensional structure and laminar fractures expand in the transverse plane and splay into the coronal plane

I. Transverse process fractures involve the transverse process only and do not extend into the lamina, pedicle, body, or facet complex. II. Isolated thoracic and lumbar spine transverse process fractures do not result in ligamentous injury and are considered stable spine injuries. III Lamina fracture associated to spondylolysis generally consolidates spontaneously but pseudoarthrosis may occur, especially in athletes taking part in high level competitions. In these cases, surgical treatment seems to lead to early return to sports activities with better results and treatment of cauda equina entrapment in the verti-cal lamina fractures of lumbar burst fractures. However, it is noteworthy that the lamina is a three-dimensional structure and laminar fractures expand in the transverse plane and splay into the coronal plane. This is because the posterior wall of the spinal canal, the laminae are i Fractures can occur in the spinous process or transverse process, as well as in the pedicle, facet joints or lamina. Far less common are fractures to the more solid vertebral body itself, although these can certainly occur. Treatment of Vertebral Fracture

In the case of a Chance fracture, all three columns are involved, and the fracture line runs through the spine, injuring the lamina, pedicles, and vertebral body Type A - Separation fracture: 2 fracture lines of unilateral lamina and pedicle: 91%: 20%: Type B - Comminution type: Multiple fracture lines with lateral wedging in coronal plane-50% : Type C - Split type: Vertical fracture line in the coronal plane, with invagination of the superior articular process of the caudal vertebra: 80%: 0%: Type D. Lumbar burst fractures (L3-L5) represent a small percentage of all spinal fractures. The treatment of fractures involving the lumbar spine has been controversial. Lamina fractures may be complete or of the greenstick type. Dural tears and nerve root entrapment may accompany these lamina fractures. The aim of this retrospective study was to determine the incidence of dural tear in patients. 4 showing lamina fracture of C4 (white arrow) and. [Show full abstract] may affect treatment methods, outcomes, and prognosis is limited. Methods: Fifteen patients (11 patients with posterior. The treatment of fractures involving the lumbar spine has been controversial. Lamina fractures may be complete or of the greenstick type. Dural tears and nerve root entrapment may accompany these lamina fractures. The aim of this retrospective study was to determine the incidence of dural tear in patients who had lumbar burst fractures with.

The effect of laminae lesion on thoraco-lumbar fracture

  1. SUMMARY: The purpose of this article is to review the current state of the art for treating symptomatic spinal fractures associated with malignant lesions and to present potential future trends in treatments for this patient population. Epidemiology, clinical presentation, and biomechanical ramifications of these lesions are summarized and treatment regimes, clinical outcomes, and.
  2. a fractures may be complete.
  3. a fracture. Despite the lack of a.

Cervical Facet Dislocations & Fractures - Spine - Orthobullet

Treatment for the vertebral fracture will typically include non-surgical care, such as rest, pain medication, use of heat or ice for local pain, and slow return to mobility. Surgery may also be advisable. The two most common types of surgery for this type of fracture are vertebroplasty and kyphoplasty The lamina, which connects the processes to each other. A spine fracture can damage the spinal cord or a nerve root. The nerve root is the part of a nerve that leads from the spinal cord to the rest of the body. symptoms spine fracture treatment cervical spine fracture symptoms spine compression fracture treatment lumbar spine fracture.

Blowout! Managing the Orbital Floor Fracture - American

A burst fracture is a serious injury; it typically requires immediate hospitalization and treatment. If the burst fracture is not severe, i.e. has not led to neurological and/or structural compromise, then the doctor may initiate a nonoperative approach. This surgery relieves the pressure on the spinal cord and nerves by removing the lamina. Neck Fracture Treatment Options. You can have different kinds of damage from a neck fracture. How you get treated depends on the details of your injury. Neck Brace or Collar. If you only have a minor break, wearing a neck brace or collar for up to 8 weeks will help you heal. These devices keep your neck in line while it heals. Tractio C2 fracture Hangman's fracture is the colloquial name for a traumatic spinal cord injury that affects the axis vertebrae. Doctors have used this term since 1965, when some doctors used it to describe traumatic spondylolisthesis involving the pars interarticularis of C2 on both sides. Hangman's fractures can involve the lamina. 10 Facet Fractures Ryan R. Janicki, Marcel F. Dvorak, and James S. Harrop Facet fractures account for ~ 7% of all cervical spine fractures. Ninety percent of injuries occur at the C5-C7 levels. Isolated facet/lateral mass fractures of the cervical spine are rarely distinguished from subluxed, perched, locked, or dislocated facets in the literature

Types of Spinal Fractures - spineuniverse

Posterior short-segment pedicle screw fixation is used to treat thoracolumbar burst fractures. However, no randomized controlled studies have compared the efficacy of the two approaches--the Wiltse's paraspinal approach and open book laminectomy in the treatment of thoracolumbar burst fractures with greenstick lamina fractures. Patients with burst fractures of the thoracolumbar spine. Diagnosis and Treatment of Thoracic Spinal Fractures. The diagnosis of a thoracic spine compression fracture is a pretty straightforward process. Your doctor will begin by asking about your family history, looking at your medical information and conducting a physical examine. This process allows them to understand if osteoporosis likely played. The damage caused by a maxillary fracture can take several weeks or months to heal. During this time, most patients can expect to experience significant swelling and bruising. After the appropriate treatment has been performed, healing can begin to take place. Patients may be asked to adhere to a soft or liquid diet and refrain from strenuous. indirect trauma. sudden muscular/ligamentous pull in flexion or extension. body location. most commonly C7, but can affect C6 to T3. usually occurs midway between the spinous tip and lamina. risk factors. labourers. racket or contact sports. motor vehicle accidents

Aydinli U, Kara GK, Ozturk C, Serifoglu R. Surgical treatment of odontoid fractures with C1 hook and C2 pedicle screw construct. Acta Orthop Belg . 2008 Apr. 74 (2):276-81. [Medline] This study investigated the incidence, predictions, and treatment principles of greenstick lamina fractures in lumbar burst fractures. Objective. To determine the incidence of dural tears in lumbar burst fracture with greenstick lamina fracture and to find out if any specific clinical and radiographic factors or intraoperative pathologic. Introduction. Midface fractures are common sequelae of motor vehicle accidents, falls, assaults, and other blunt trauma (, 1 2).Computed tomography (CT) has become the imaging standard of reference in evaluating these injuries to determine which patients will require surgical intervention for their bony injuries (, 3 4).The surgical treatment of displaced craniofacial fractures centers. Surgical treatment for vertebral fracture involves stabilizing the fracture and decompressing the spinal canal. This decompression procedure is referred to as laminectomy where the doctor gets rid of the spinal cord compression by removing the lamina and every other thing that is compressing the spinal cord

The lamina papyracea fracture secondary to nose blowing can cause orbital emphysema Careful observation is the only treatment necessary unless an orbital wall fracture involves an infected sinus, in which case prophylactic orally administered antibiotics may be prescribed Lamina papyracea dehiscence Radiology Reference Articl The effectiveness of treatment of locked lower cervical fracture and dislocation with anterior cervical fusion and internal fixation combined with the release of the interlocking facet through the Luschka joint and anterior lamina space is clear, which not only can make the injured segment get satisfactory reduction, immediate stability and. Goals for operative treatment of thoracolumbar burst fractures include adequate decompression and fracture stabilization. Direct or indirect decompression is necessary to manage incomplete or root-level neurologic deficit. Stabilization without fusion and subsequent removal of instrumentation may be considered if adequate indirect decompression.

Video: Fractures of L4 and L5 (Low Lumbar Fractures

The axial cuts allow for evaluation of the facets and lamina for fractures to help categorize dislocations as osseous-ligamentous or purely ligamentous. [6] With high suspicion of an associated neural injury, ordering cervical spine magnetic resonance imaging (MRI) is becoming more commonplace as well Physiotherapy has been highlighted to be an effective treatment for lower back stress reaction / fracture. Treatment aims to reduce pain, restore range of movement, develop core stability and functional strength. Therefore, we utilise a combination of the following treatment methods: Initial period of rest to offload structures which varies for.

PPT - SPONDYLOLYSIS PowerPoint Presentation, free download

Orbital Fracture in Emergency Medicine: Background

•84% patients with a clinical exam and fracture have midline neck pain Stiell, I. et al. N Engl J Med 2003;349:2510-2518 •20% of patients with a clinically significant cervical spine fracture with negative plain films have a fracture on CT scan Mace,S.E.Ann.Emerg.Med; 1985, 14, 10, 973-975 •Step off between spinous processes •Crepitu Treatment for C6, C7, & C8 Injuries. Treatment for these types of spinal cord injury are aimed at retaining as much function as possible while regaining lost function. Several therapy options may be tried to aid in spinal cord damage recovery. Physical therapy is a very important part of recovery. The patient will need to maintain any function. Q & A: Spinous Process Fracture. Q. My son was recently injured in a weight room accident that resulted in a C7 spinous process fracture. The neurosurgeon says not to worry about it and that he can return to sport in six weeks. He is a very talented athlete, and he's trying to get a college football scholarship

Medial Orbital Wall Fractures Plastic Surgery Ke

Treatment of thyroid cartilage conditions. Thyroid cartilage fracture can be classified into 3 categories, i.e., non-displaced with minor laryngeal injuries, moderately displaced with intra-laryngeal injuries and defects, and severe or major fractures with intra-laryngeal damage and avulsion injuries. In each of these cases, doctors will. Orbital floor fracture. Orbital floor fracture also known as blowout fracture of the orbit (eye socket). Orbital floor fractures may result when a blunt object, which is of equal or greater diameter than the orbital aperture, strikes the eye or on the cheek 1).. Getting hit with a baseball or a fist often causes a orbital blowout fracture

Spondylolysis (Pars Fracture) and Spondylolisthesis HS

Anatomy of the C7-T1 Spinal Motion Segment. The C7-T1 motion segment includes the following structures: C7 and T1 vertebrae. These vertebrae are connected by a pair of facet joints in the back and each has a vertebral body, 2 pedicles, 2 transverse processes (bony humps on the side where muscles can attach and pull on the vertebrae), 2 lamina, and a spinous process faint fracture line at the left pars interarticularis (Fig. 1B). The diagnosis was stress fracture of the L4 lamina (very ear-ly-stage LS) on the right and early-stage LS on the left.6) Conservative treatment was recommended, including rest, cessation of sports activities, and wearing of a hard brace Request PDF | The effect of laminae lesion on thoraco-lumbar fracture reduction | Introduction: The treatment of fractures involving the lumbar spine has been controversial. Laminae lesion may be. If the fracture is old and there appear to be other fractures that have healed, this may indicate osteoporosis (bone-thinning disease) is causing the fractures. This is important in older patients, particularly women. In this case, treatment of the fracture will include preventive measures to try to stop other vertebral fractures from occurring

Surgical versus Nonsurgical Treatment of Subaxial Cervical

Minor fractures are the ones that often heal with little or no intervention. Major fractures - A stub of bone connecting the lamina (the covering protecting the back of the spinal cord) to a vertebral body that forms a vertebra's arch is damaged or weakened with a major fracture. Damage like this can affect spinal alignment My 12 year old fractured her C1 left lamina and anterior arch 5 months ago falling head first from a fence. Treated with a soft collar. Recent CT scan showed left lamina fully healed, The anterior arch has not healed at all and radiologist tells us there is no sign of bone growth or fibrous growth Treatment. Treatment will depend on how severe the injury is. It may take weeks or months to heal. Bone Support. The spine may need to be supported as it heals. This can be done with: A back brace to keep a minor fracture in place while it heals; Traction using rigid braces to treat severe or unstable fractures; Surger

Fracture healing can be divided into three phases. The inflammation phase is the first stage of healing. Immediately upon fracture, a blood clot forms, allowing the influx of inflammatory, clean-up cells to the wound area. This is followed by a cytokine cascade that brings the repair cells into the fracture gap INTRODUCTION. This topic will review the evaluation and management of patients with orbital fractures, mechanisms of injury to the orbit, fracture types, and associated injuries. Other facial fractures in adults and children are discussed separately: (See Initial evaluation and management of facial trauma in adults . All things equal, a fracture of the lamina of a vertebra isn't worth as much as a compression fracture of the vertebrae. At the hospital, doctors took an MRI of Ray's neck. The MRI did not show the lamina fracture. It also did not show edema at the T3 level

Cervical Neck Fractures Causes and Treatment

Chip fracture (arrow) of left inferior articular process of C6 with posterior displacement of fracture fragment. i = inferior articul r process. Discussion Fractures of the articular processes of the cervical spine have been reported as occurring in 3%-11 % of patients with cervical fractures [1, 2] on the basis of a series o This fracture treatment without manipulation is commonly provided by orthopedic surgeons at many different sites of service - inpatient, outpatient, office, or emergency department [ED]. Typically, orthopedic surgeons provide follow-up care until fracture healing has occurred and function has been restored

Sagittal computed tomography scan of a T12 subtype B1Trauma – Toronto NotesUpper Cervical Spine Trauma Imaging: Overview, RadiographyLower Cervical Spine Fractures and Dislocations Treatment

Treatment. As the bone remains aligned after the blow, it is usually easier to treat a non-displaced fracture as compared to a displaced fracture. Your doctor may give you pain relief medications to help reduce swelling. You may have to wear a cast or splint to prevent further damage Conservative therapy is usually the mainstay of treatment. Spinous Process Fractures - The spinous process is a posterior inferior projection off the spinal lamina of a vertebra. Fractures to these structures are similar to TP fractures in that they may occur due to direct or blunt trauma at a given level Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 1 July 2021), Cerner Multum™ (updated 1 July 2021), ASHP (updated 30 June. Sacral injuries and fractures can cause serious problems. The limited movement caused by a sacral fracture can increase the risk of a blood clot in the arm or leg. This clot can travel to the heart or brain and lead to a heart attack or stroke. It can also affect the spinal cord. Treatment depends on the type of fracture

When it will substantially reduce cost of treatment; Fracture compression increases the contact area across the fracture and increases stability of the fracture. The hooks are designed to be placed under the lamina or transverse processes, and the device is either extended or compressed to the desired position. Sometimes both types of. Compression Fracture Treatment. Treatment for a compression fracture depends on the nature of the break and the likely cause. Our non-surgical approaches include: Taking pain medications. Resting in bed until better. Wearing a back brace. Going to physical therapy. Treating osteoporosis if bone weakening is suspected. Our surgical options include

Knee and Lower Leg Fracture Treatment, Open; Kyphoplasty, Percutaneous; Lamina Procedures (incl. Laminectomy, Laminoplasty, Laminotomy) Laminoforaminotomy; Leg Fracture Above Knee (incl. Hip) Leg Fracture Below Knee (incl. Ankle) Limb Pain; Low Back Pain; Lumbar Spine Fracture Twenty-three of these patients were excluded because of vertebral body fracture, lamina fracture, facet fracture, dislocation, or traumatic herniated intervertebral disk; because they were followed-up for <2 years; because of the co-occurrence of another significant injury such as brain trauma, major organ injury, or other spinal injury; or. A 76-year-old man presented with a Denis Zone III sacral fracture after a traffic accident. He also developed urinary retention and perineal numbness. The patient was diagnosed with neurogenic bladder dysfunction caused by the sacral fracture. A computed tomogram (CT) revealed that third sacral lamina was fractured and displaced into the spinal canal, but vertebral body did not displace - disadvantage of axial CT is its inability to detect subtle horizontally oriented fractures of the vertebral bodies, pedicles, or lamina; - minimal vertebral body compression fractures may be missed; - many of these problems are overcome by frontal & sagittal reformation. - Non Operative Treatment

The treatment of maxillary sinus fractures can require an interprofessional team, depending on the extent of the injury. The emergency response team and emergency department members will be necessary to identify any life-threatening injuries and stabilize the patient upon presentation. Surgical reconstruction may need to be carried out by the. Treatment. Nasoorbitoethmoid (NOE) refers to the anatomical complex involving the nasal, orbital, and ethmoid bones of the face. NOE fractures usually result from high-impact blunt trauma to the nasal region forcing depression of the nasal bones into the orbital and/or ethmoid bones. 1. While the NOE complex typically refers to these associated.

Compliance with conservative treatment was excellent; consistent with the healing process, the STIR-MRI findings at L4 gradually diminished and bone healing was achieved ().However, despite the successful conservative treatment for the stress fracture of the L4 lamina, follow-up STIR-MRI scan 10 weeks later revealed high signal intensity at the left L5 pedicle, indicating that the LS. Treatment for a Cervical Fracture depends on the location of the injury and the type of fracture sustained; There are different types of Cervical Fractures. Physicians categorize Cervical Fractures based on the injury pattern and if a spinal cord injury has occurred. Classifying the fracture patterns may help determine the appropriate treatment Lumbar spine fractures, as the name suggests, always locate in the lumbar spine. The lumbar spine is the part of the spine located in the lower back and is an often seen source of pain in physiotherapy. It is situated in between the thoracic and the sacral part of the spine and it is characterised by lordose

Treatment of spinal fractures depends on the type of fracture and the degree of instability. Whiplash. Whiplash is a common injury to the neck caused by hyperextension or rapid back and forth motion of the head - most often in a car accident. The jerking motion strains the muscles and ligaments of the neck and may cause the discs to bulge Following consultation with neuroradiology, a computed tomography scan revealed a C4 right pedicle and lamina fracture, causing a free-floating mass fracture. Extension of the fracture line across the right transverse foramen suggested associated injury to the vertebral artery ( FIGURE 2 ) c. Minor fracture means a part of the back side of the vertebra is broken. These include the spinous processes and facet joints which are not as crucial for spinal column stability. d. Major fractures is a result of damage or fracture to the vertebral body, the pedicles, or the lamina. The vertebral body is responsible for weight bearing and. Cervical transverse process fracture Cervical transverse process fractures have a strong association with other cervical spine fractures and blunt cerebrovascular injury 1). With the advent of whole body computed tomography of trauma patients, the radiologic diagnosis of transverse process fractures (TPF) has increased. Spine service (neurosurgical or orthopedic) consultation is frequently.