Finding-the-Path: Treat the Fracture
The patient was treated for an avulsion fracture of the C7 spinous process.
Discussion
An avulsion fracture of the spinous process of the lower cervical vertebra and T1 (C7, C6 and T1, in order of frequency) is called a "clay shoveler's fracture". It is due to abrupt flexion against the tense posterior ligaments of the neck. This is a stable fracture. The diagnosis is made on plain radiographs; no other imaging is needed for evaluation of this fracture.
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