Question

A man presents with back pain following a road traffic accident. There was no history of neurological deficit. X-ray spine is done. What is the diagnosis? 

• A. Spinous process fracture
• B. Chance fracture
• C. Fracture o base of vertebrae
• D. Compressed fracture

Hint:

For isolated back pain without neurological deficits following trauma, consider a spinous process fracture. This injury is often less severe than other spinal fractures.

Answer 1

The Correct Option is A

The X-ray image shows a fracture involving the spinous process of the vertebrae. Spinous process fractures are typically caused by trauma, such as a road traffic accident, and are often associated with back pain without neurological deficits. These fractures are less severe compared to fractures involving the vertebral body or the spinal cord, and they usually do not result in significant neurological impairment. - Chance fractures occur due to flexion-distraction forces and typically involve a fracture through the vertebral body and posterior elements. These fractures are more serious and often associated with neurological deficits. - Fracture of the base of vertebrae would involve the vertebral body and possibly the spinal canal, leading to potential nerve involvement and instability. This is more serious and would typically present with neurological symptoms. - Compressed fractures involve compression of the vertebral body, commonly seen in osteoporotic patients or those with axial loading injuries. These fractures can lead to significant pain but often result in changes in vertebral height rather than isolated spinous process fractures. Thus, based on the presentation and the X-ray findings, the correct diagnosis is a spinous process fracture.