Traumatic isolated spinous process fractures

Notably, multiple fractures may occur, particularly at the cervicothoracic junction. Although spinous process fractures associated with trauma are rarely isolated, they are usually managed with medical treatment. Therefore, the vertebrae below the initially detected fracture site should also be evaluated. Additionally, imaging studies such as MRI with STIR sequences should be performed to assess ligament damage and the neural canal, in addition to tests for evaluating bony structures.