STUDY DESIGN: A case of an isolated lumbarized S1 spinous process @entity174 due to direct @entity130 from a fall on the lower back is reported here. The @entity1 was treated nonoperatively. @entity158 subsided and he returned to every day. OBJECTIVE: To alert physicians of this rare @entity174 as part of the differential diagnosis in cases of direct @entity130 to the lower spine. The method of diagnosing such pathology and its treatment are described. SUMMARY OF BACKGROUND DATA: A 22-year-old @entity1 was admitted with lower back @entity158 after falling down a flight of stairs during which, he sustained a direct blow to his lower back. The @entity1 had a scrape over L5-S1 area and midline @entity925 around the L5-S1 area. He was neurologically intact. Radiographs revealed a lumbarized S1 vertebra and an isolated @entity174 of the spinous process of S1. The @entity174 resulted from the direct @entity130 to the S1 lumbarized vertebrae. The direct @entity130 and the fact that the @entity1 has a lumbarized S1 vertebra with a thin spinous process contributed to the fragility of the spinous process. METHODS: Nonoperative measures, physical therapy, primarily analgesics, and local heat, were employed. RESULTS: The @entity1 returned to his normal routine after 3 weeks. CONCLUSIONS: Few cases of isolated spinous process @entity174 have been described, and, to our knowledge, this is the first reported case of an isolated @entity174 of a lumbarized S1 spinous process to due to direct @entity130 . Radiograph imaging was adequate to determine the extent of the injury. Nonoperative treatment can allow the @entity1 to return to every day life without the need of surgery.

A hard fall: an isolated XXXX of lumbarized S1 spinous process: a case report and review of the literature.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity925 :: ('MESH:D063806', 'Disease') :: ['tenderness'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
