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Journal of Medical Case Reports

Thoracic spinous process nonunion as an unusual cause of back pain: a case report and review of the literature

  • Open Access
  • 01-12-2024
  • Back Pain
  • Case report
Published in:
Authors
Gilles Dietrich
Raphaël Richard
Alain Akiki
Sebastien Levy
Benoit Maeder
Published in
Journal of Medical Case Reports | Issue 1/2024

Abstract

Background

Purely isolated spinous processes fractures are rare and are usually treated conservatively, although a few authors have reported cases of nonunion that ultimately required surgical resection.

Case presentation

We present a case of an isolated T6 spinous process pseudoarthrosis that was treated by surgical resection of the tip of the spinous process. A 34-year-old Caucasian male patient was complaining of mid-thoracic back pain without neurologic impairment more than 2 years after an isolated spinous process fracture. Magnetic Resonance Imaging (MRI) and Single Photon Emission Computed Tomography (SPECT) revealed a nonunion. We performed a resection without further complication.

Conclusion

Although spinous process nonunions may in some cases be well tolerated, surgical resection appears to be a reliable option in case of persistent symptoms. This illustrated case shows the description of an isolated thoracic spinous process nonunion and its surgical treatment.
Title
Thoracic spinous process nonunion as an unusual cause of back pain: a case report and review of the literature
Authors
Gilles Dietrich
Raphaël Richard
Alain Akiki
Sebastien Levy
Benoit Maeder
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2024
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-023-04109-3
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