When Is a Clay-Shoveler's Fracture, Not a Clay-Shoveler's Fracture? A Case Report

Matthew J. Schultz, Michael R. Wheeler, Loren O. Black, Aidan T. Morrell, Travis C. Philipp

Research output: Contribution to journalArticlepeer-review

Abstract

Case:A 71-year-old man with a history of C5-7 anterior cervical discectomy and fusion (ACDF) sustained a C7 spinous process fracture after falling from a ladder. He was initially managed nonoperatively but developed anterolisthesis and kyphosis at C7-T1 with left hand weakness over the course of 11 days. Surgical treatment included spinous process wiring and C5-T3 posterior fusion. At 14-month follow-up, he demonstrated resolution of pain and returned motor function.Conclusion:The patient's ACDF likely created a longer lever arm, allowing the force of his fall to be concentrated at C7-T1. Patients with a suspected Clay-Shoveler's fracture require close follow-up.

Original languageEnglish (US)
Article numbere24.00149
JournalJBJS case connector
Volume14
Issue number4
DOIs
StatePublished - Oct 3 2024

Keywords

  • adult
  • cervical arthrodesis
  • cervical spine
  • male
  • neurologic deficit
  • spinal instability
  • spinous process fracture
  • thoracic spine
  • weakness

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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