{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:26:14Z","timestamp":1791951974564,"version":"4.3.4"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Isolated transverse and spinous process fractures (TPFx and SPFx) in the thoracic and\/or lumbar region have been deemed clinically insignificant in the adult population. This same rule is often applied to the pediatric population; however, little evidence exists in this younger group. The goal of this study was to describe the clinical, radiographic, and long-term data on isolated TPFx and SPFx in an exclusively pediatric population.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A retrospective chart review at Monroe Carell Jr. Children's Hospital at Vanderbilt University identified 82 pediatric patients with isolated TPFx and\/or SPFx following a traumatic event between January 2000 and December 2013. Patient demographic information, presenting symptoms, radiographic characteristics, and follow-up data were collected. Follow-up was used to determine the outcome (presence of neurological deficits) of such injuries via complete physical examination and, when available, radiographic evidence.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>In the 82 identified patients, the mean age was 15.5 \u00b1 3.1 years (mean is expressed \u00b1 SD throughout), with 72 injuries (87.8%) resulting from a motor vehicle, motorcycle, or all-terrain vehicle accident. There was a mean of 1.7 \u00b1 1.0 fractured vertebral levels involved and a mean of 1.8 \u00b1 1.1 fractures was identified per patient. Seventy-one patients (86.6%) needed bedside pain control, 7 (8.5%) were prescribed a brace, and 4 patients (4.9%) received a collar. Physical therapy was recommended for 12 patients (14.6%). A total of 84.1% had follow-up, and the mean length of follow-up was 19 \u00b1 37 months. No patients had true neurological deficits at presentation or follow-up as a result of their isolated fractures, whereas 95.1% had other associated system injuries.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>These data shows that there is no appreciable long-term complication associated with isolated thoracic and\/or lumbar TPFx and\/or SPFx in an exclusively pediatric population. Because these fractures are, however, associated with high-energy blunt trauma, they often result in associated soft-tissue or other skeletal injury. All pediatric patients in the cohort benefited from conservative management and aggressive treatment of their comorbidities.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.10.peds15377","type":"journal-article","created":{"date-parts":[[2016,2,19]],"date-time":"2016-02-19T14:57:49Z","timestamp":1455893869000},"page":"639-644","source":"Crossref","is-referenced-by-count":14,"title":["Pediatric isolated thoracic and\/or lumbar transverse and spinous process fractures"],"prefix":"10.3171","volume":"17","author":[{"given":"Babatunde J.","family":"Akinpelu","sequence":"first","affiliation":[{"name":"Department of General Surgery, Vanderbilt University;"},{"name":"Department of Medicine, Meharry Medical College; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott L.","family":"Zuckerman","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen R.","family":"Gannon","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashly","family":"Westrick","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chevis","family":"Shannon","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Naftel","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-peds15377","series-title":"J Trauma","first-page":"832","article-title":"Isolated transverse process fractures: spine service management not needed","volume":"65","author":"Bradley","year":"2008"},{"key":"b2-peds15377","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"707","DOI":"10.5435\/00124635-201312000-00001","article-title":"Pediatric thoracolumbar spine trauma","volume":"21","author":"Daniels","year":"2013"},{"key":"b3-peds15377","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1097\/00007632-198311000-00003","article-title":"The three column spine and its significance in the classification of acute thoracolumbar spinal injuries","volume":"8","author":"Denis","year":"1983"},{"key":"b4-peds15377","series-title":"Korean J 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