Multiple adjacent isolated thoracic spinous process fracture
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The term “Clay-Shoveler’s fracture” was originally coined in 1940 to describe isolated spinous process fractures occurring from C6-T3 in Western Australian laborers. In the modern era, this fracture pattern has been observed in a variety of patients, including football players, power-lifters, golfers, and trauma patients. There have been only three previous reports in the literature documenting isolated thoracic spinous process fractures involving five or more contiguous vertebrae. Despite the paucity of published literature, this entity may be more common than previously believed. We report two cases that presented to our institution over the past year of contiguous isolated thoracic spinous process fractures occurring in the setting of high-energy trauma.

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