X ray cervical spine3/31/2024 Upper extremity deficit is greater than lower extremity deficit, because the lower extremity corticospinal tracts are located lateral in the cord.Frequently found in elderly with underlying spondylosis or younger people with severe extension injury (figure).It is unstable and is associated with a high incidence of cord damage. Flexion teardrop farcture is the result of extreme flection with axial loading.BID is unstable and is associated with a high incidence of cord damage. Bilateral interfacet dislocation is the result of extreme flection.Unilateral interfacet dislocation is due to both flexion and rotation.Unstable wedge fracture is an unstable flexion injury due to damage to both the anterior column (anterior wedge fracture) as the posterior column (interspinous ligament).Increased concavity along with increased density due to bony impaction. Simple wedge fracture is the result of a pure flexion injury.Since the anterior and middle columns remain intact, this fracture is stable. Anterior subluxation occurs when the posterior ligaments rupture.The most common fracture mechanism in cervical injuries is hyperflexion. Hyperextension with superimposed spondylosis.You can click on some of the images to get a larger image. In this overview we will discuss the most common cervical spine injuries. One third of injuries occur at the level of C2, and one half of injuries occur at the level of C6 or C7. Most cervical spine fractures occur predominantly at two levels. Up to 17% of patients have a missed or delayed diagnosis of cervical spine injury, with a risk of permanent neurologic deficit after missed injury of 29%. The cervical spine series is a set of radiographs taken to investigate the bony structures of the cervical spine, albeit commonly replaced by the CT, the cervical spine series is an essential trauma radiograph for all radiographers to understand. This review is based on a presentation given by Adam Flanders and adapted for the Radiology Assistant by Robin Smithuis.Īpproximately 3 % of patients who present to the emergency department as the result of a motor vehicle accident or fall have a major injury to the cervical spine.ġ0-20% patients with head injury also have a cervical spine injury. How to Differentiate Carotid Obstructions.The subluxation of the cervical spine and the associated complications can negatively impact patients’ functionality and quality of life. Ankle fractures - Weber and Lauge-Hansen Classification The dynamic X-ray is of prime importance to rule out subtle instability, particularly in grade 1 subluxation, that a clinician can easily overlook on standard X-rays.Ankle Fracture Mechanism and Radiography.TI-RADS - Thyroid Imaging Reporting and Data System.Head Neck tumors - When to think of malignancy.Anatomy and Pathology of the Infrahyoid Neck.Esophagus II: Strictures, Acute syndromes, Neoplasms and Vascular impressions.Pulmonary nodule - Benign versus Malignant.Mediastinal Masses - differential diagnosis.Esophagus I: anatomy, rings, inflammation.Vascular Anomalies of Aorta, Pulmonary and Systemic vessels.Contrast-enhanced MRA of peripheral vessels.Ischemic and non-ischemic cardiomyopathy.Coronary Artery Disease-Reporting and Data System 2.0.Bi-RADS for Mammography and Ultrasound 2013.Transvaginal Ultrasound for Non-Gynaecological Conditions.Acute Abdomen in Gynaecology - Ultrasound.Appendicitis - Pitfalls in US and CT diagnosis.The Radiologist will usually comment on the alignment of the vertebrae and the presence or absence of any ‘wear and tear’ changes, usually related to normal aging and known as degenerative changes or osteoarthritis. Sometimes, a Radiologist may also be requested to interpret the images.Ĭ-Spine X-Rays taken in the non-urgent setting are reported by a Radiologist, and the report is usually sent to the doctor who ordered the test. In cases of trauma, the cervical spine x-ray is usually interpreted immediately by an emergency doctor such as an Emergency Physician, an Orthopaedic Surgeon, or a General Surgeon involved in the care of the patient. A spinal x-ray can reveal things such as spinal fractures, disk problems, infections, tumors, abnormal curvature of the spine, Scoliosis, arthritis and pretty much anything that may be impacting the spine negatively, including congenital issues that a person may be born with.
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