Question 1829
{"accessible":true,"alternatives":[{"id":9087,"text":"both patients"},{"id":9088,"text":"neither patient"},{"id":9089,"text":"patient A only"},{"id":9090,"text":"patient B only"}],"archived":false,"correctAlternativeId":9089,"explanation":"\u003cp\u003ePatient A has a horizontal lucency through the C6 spinous process with disruption in the cortical outline in keeping with an acute fracture.\u0026nbsp;\u003c/p\u003e\u003cp\u003ePatient B has developmentally unfused C6 and C7 spinous processes with a well-corticated vertical lucency separating the left and right spinous proccess components\u0026nbsp;(part of the spina bifida occulta spectrum). This patient does however have left C6 and C7 transverse process fractures.\u003c/p\u003e","id":1829,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/319/sp.001_big_gallery.jpeg","imageAttribution":{"kind":"external","attribution":"Case A: Clay-shoveler fracture (rID: 225678) contributed by David Cuete. Case B: Unfused spinous processes of C6 and C7 (rID: 4228) contributed by Frank Gaillard."},"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1829","nextQuestionPath":"/articles/clay-shoveler-fracture-2/questions/1604","relatedArticles":[{"id":2239,"title":"Unfused spinous process","link":"/articles/unfused-spinous-process?lang=us"}],"alsoUsedIn":[{"id":808,"kind":"Course","title":"X-ray Interpretation: Cervical Spine - page 808","link":"https://radiopaedia.org/courses/x-ray-interpretation-cervical-spine/pages/808"},{"id":808,"kind":"Course","title":"Emergency Radiology Course - Melbourne - page 808","link":"https://radiopaedia.org/courses/emergency-radiology-course-melbourne-2022/pages/808"},{"id":808,"kind":"Course","title":"Emergency Radiology Course - Brisbane - page 808","link":"https://radiopaedia.org/courses/emergency-radiology-course-brisbane-2022/pages/808"}],"stem":"\u003cp\u003eTwo patients (A \u0026amp; B) with neck pain after trauma. Which patient has one or more spinous process fracture?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1829"}],"attemptsPercentages":[{"alternativeId":"9089","percentage":62},{"alternativeId":"9087","percentage":14},{"alternativeId":"9088","percentage":10},{"alternativeId":"9090","percentage":13}],"promptToLogin":false,"questionManager":false,"articleId":"clay-shoveler-fracture"}