Transverse Process Fracture

Causes

Transverse process fractures are caused by trauma from:

• Falls
• Car, motorcycle, or pedestrian accidents
• Severe and sudden twisting or bending
• Severe blows to the back and spine
• Violence, such as a gunshot

Risk Factors

Transverse process fractures are more common in older adults. Other things that raise the risk are:

• Having health problems that weaken bones, such as osteoporosis
• Low muscle mass
• Playing sports that involve sudden twists and turns or extreme contact
• Not wearing a seatbelt
• Being around violence

Symptoms

Transverse process fractures can happen at any place in the spinal column. They may cause:

• Severe pain that may be worse when moving
• Swelling and bruising
• Numbness, tingling, or weak muscles
• Problems moving the injured part of the spine
• Loss of bladder or bowel control

Diagnosis

The doctor will ask about symptoms and past health. Questions will also be asked about how the injury happened. A physical exam will be done. It will also look for nerve damage.

Pictures may be taken to look at the spine. This can be done with:

• X-rays
• MRI scan
• CT scan

Treatment

It can take up to 6 weeks to heal. The goal of treatment is to help the bones heal properly to prevent long term problems.

Support

Support for a transverse process fracture can include:

• Medicine to ease pain and swelling
• A back brace to support the bone as it heals
• Exercises to help with strength, flexibility, and range of motion

Surgery

People with a severe fracture may need surgery. Screws, rods, wires, or cages will be used to reconnect bone pieces and hold them in place.

Prevention

Most fractures happen due to accidents. Healthy bones and muscles may prevent injury. This may be done through diet and exercise.