Hirsh L F, Duarte L E, Wolfson E H, Gerhard W
Division of Neurosurgery, Crozer-Chester Medical Center, Chester, Pennsylvania.
J Neurosurg. 1991 Jul;75(1):131-3. doi: 10.3171/jns.1991.75.1.0131.
Isolated cervical spinous process fractures are common, but are usually considered to be inconsequential. Although such fractures may produce pain, complete recovery without residual symptoms is expected after conservative treatment, and neurological injury does not usually occur. The case of a patient with a persistently symptomatic C-2 spinous process fracture that required surgical treatment for pain relief is reported. A review of the pertinent literature illustrates with unusual clarity the interactions of social, political, and economic forces associated with this medical condition.
孤立性颈椎棘突骨折很常见，但通常被认为无关紧要。尽管此类骨折可能会引起疼痛，但保守治疗后有望完全康复且无残留症状，通常也不会发生神经损伤。本文报道了一例C2棘突骨折持续有症状且需要手术治疗以缓解疼痛的患者病例。对相关文献的回顾异常清晰地阐明了与这种病症相关的社会、政治和经济力量的相互作用。
