Clinical Challenge 2: July 2011

Resolution

The patient’s problem list includes trauma. The diagnoses are Fx, Fx vertebral.

This x-ray shows fracture of lateral process of the lumbar spines 2 and 3.

Lumbar transverse process fractures are commonly thought of as minor injuries compared with body, pedicle, and lamina fractures. As long as there is no evidence of abdominal injury or neurological deficit, these can be managed with pain control and orthopedic follow-up.

Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services