Diferencia entre revisiones de «Cervical spine x-ray interpretation»

(Created page with "RULES (normal) 1. Post vert > ant vert + 3mm 2. Predental space < 3mm (< 5mm in children) 3. Spinal canal narrowest point should be >13mm (lateral) 4. Anterior Soft tis...")
 
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RULES (normal)
==RULES (normal)==
# Post vert > ant vert + 3mm
# Predental space < 3mm
##< 5mm in children
#Spinal canal narrowest point should be >13mm (lateral)
#Anterior Soft tissue
##at C1-C4 < 7mm
##at C5-T1 < 22mm


1. Post vert > ant vert + 3mm
===PEDS===
 
#Children <8yo
2. Predental space < 3mm
#~50% SCI have no x-ray changes
 
#most higher than C3
    (< 5mm in children)
#Pseudosubluxation (peds) = C2 on C3 posterior cervical line (nl = <2mm)
 
3. Spinal canal narrowest point should be >13mm (lateral)
 
4. Anterior Soft tissue
 
    -at C1-C4 < 7mm
 
    -at C5-T1 < 22mm
 
 
PEDS
 
Children <8yo
 
~50% SCI have no x-ray changes
 
-most higher than C3
 
Pseudosubluxation (peds) = C2 on C3 posterior cervical line (nl = <2mm)
 
 
LATERAL


==LATERAL==
Alignment: Anterior, posterior, middle arcs
Alignment: Anterior, posterior, middle arcs


Línea 39: Línea 23:
Soft tissue: prevertebral soft tissue width
Soft tissue: prevertebral soft tissue width


==AP VIEW==
 
AP VIEW
 
Aligment of spinous processes
Aligment of spinous processes


Línea 49: Línea 30:
Uniformity and height of vertebrae
Uniformity and height of vertebrae


==ODONTOID==
 
ODONTOID
 
Spacing of dens and lateral masses
Spacing of dens and lateral masses


Línea 59: Línea 37:
Uniformity of bones
Uniformity of bones


==Source==
 
4/11/06 DONALDSON (adapted from Lampe, Rosen)
4/11/06 DONALDSON (adapted from Lampe, Rosen)


 
[[Category:Neuro]]
 
 
[[Category:Rads]]
[[Category:Rads]]
[[Category:Trauma]]

Revisión del 20:35 10 jun 2011

RULES (normal)

  1. Post vert > ant vert + 3mm
  2. Predental space < 3mm
    1. < 5mm in children
  3. Spinal canal narrowest point should be >13mm (lateral)
  4. Anterior Soft tissue
    1. at C1-C4 < 7mm
    2. at C5-T1 < 22mm

PEDS

  1. Children <8yo
  2. ~50% SCI have no x-ray changes
  3. most higher than C3
  4. Pseudosubluxation (peds) = C2 on C3 posterior cervical line (nl = <2mm)

LATERAL

Alignment: Anterior, posterior, middle arcs

Bones: Vertebrae and spinous processes uniformity and height

Cartilage:intervertebral disc space height and length

Soft tissue: prevertebral soft tissue width

AP VIEW

Aligment of spinous processes

Distance between spinous processes

Uniformity and height of vertebrae

ODONTOID

Spacing of dens and lateral masses

Lateral aligment of C1 and C2

Uniformity of bones

Source

4/11/06 DONALDSON (adapted from Lampe, Rosen)