Cervical spine x-ray interpretation - Revision history

Rossdonaldson1 at 19:09, 13 May 2021

2021-05-13T19:09:02Z

← Older revision		Revision as of 19:09, 13 May 2021
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	**Posterior Spinous Line-spinous process, nuchal ligament, interpsinous and supraspinous ligaments, and ligamentum flavum		**Posterior Spinous Line-spinous process, nuchal ligament, interpsinous and supraspinous ligaments, and ligamentum flavum

			===Pediatric===
	===~~Pediatrics~~===		*In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region
	**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region		*In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 (from proportionally larger head)<ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>
	**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 (from proportionally larger head)<ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>		*Pseudosubluxation of C2-C3 is common (~40%) in children <8yr
	**Pseudosubluxation of C2-C3 is common (~40%) in children <8yr		**To distinguish from true dislocation or fracture:
	***To distinguish from true dislocation or fracture:		***Draw line from cortex of post arch of C1 to cortex of posterior arch of C3 (Swischuk line)
	****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3 (Swischuk line)		***This line should pass through or be <2mm ant to posterior arch of C2
	****This line should pass through or be <2mm ant to posterior arch of C2

	==Measurements (Normal)==		==Measurements (Normal)==

Rossdonaldson1 at 19:08, 13 May 2021

2021-05-13T19:08:15Z

← Older revision		Revision as of 19:08, 13 May 2021
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	==Background==		==Background==
			[[File:HWS seitlich Annotation.jpg\|thumb\|Lateral film]]
			''Disruption of one column is generally stable. Disruption of two or more is unstable.''
	*Make sure that the C7-T1 junction is adequately visualized		*Make sure that the C7-T1 junction is adequately visualized
	**Cervical Spine Radiographic series contains 3 views		**Cervical Spine Radiographic series contains 3 views
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	*Pediatrics		===Pediatrics===
	**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region		**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region
	**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 (from proportionally larger head)<ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>		**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 (from proportionally larger head)<ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>
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	****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3 (Swischuk line)		****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3 (Swischuk line)
	****This line should pass through or be <2mm ant to posterior arch of C2		****This line should pass through or be <2mm ant to posterior arch of C2

	**Disruption of one column is generally stable. Disruption of two or more is unstable.

	~~[[File:HWS seitlich Annotation.jpg\|thumb\|Lateral film]]~~

	==Measurements (Normal)==		==Measurements (Normal)==
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	*[[Canadian cervical spine rule]]		*[[Canadian cervical spine rule]]
	*[[NEXUS cervical spine rule]]		*[[NEXUS cervical spine rule]]
			*[[X-ray interpretation (main)]]

	==References==		==References==

Rossdonaldson1: Rossdonaldson1 moved page Cervical spine x-ray to Cervical spine x-ray interpretation

2021-05-13T19:05:26Z

Rossdonaldson1 moved page Cervical spine x-ray to Cervical spine x-ray interpretation

← Older revision	Revision as of 19:05, 13 May 2021
(No difference)

Elcatracho: /* Background */

2021-02-15T00:28:10Z

Background

← Older revision		Revision as of 00:28, 15 February 2021
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	*Pediatrics		*Pediatrics
	**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region		**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region
	**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 <ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>		**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 (from proportionally larger head)<ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>
	**Pseudosubluxation of C2-C3 is common (~40%) in children <8yr		**Pseudosubluxation of C2-C3 is common (~40%) in children <8yr
	***To distinguish from true dislocation or fracture:		***To distinguish from true dislocation or fracture:

Rossdonaldson1: Rossdonaldson1 moved page C-Spine X-Ray to Cervical spine x-ray

2018-02-27T14:12:12Z

Rossdonaldson1 moved page C-Spine X-Ray to Cervical spine x-ray

← Older revision	Revision as of 14:12, 27 February 2018
(No difference)

DrKarb: /* Background */

2018-02-21T16:26:16Z

Background

← Older revision		Revision as of 16:26, 21 February 2018
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	**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region		**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region
	**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 <ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>		**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 <ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>
	**Pseudosubluxation of C2-C3 is common in children <8yr		**Pseudosubluxation of C2-C3 is common (~40%) in children <8yr
	***To distinguish from true dislocation or fracture:		***To distinguish from true dislocation or fracture:
	****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3		****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3 (Swischuk line)
	****This line should pass through or be <~~1mm~~ ant to posterior arch of C2		****This line should pass through or be <2mm ant to posterior arch of C2

	**Disruption of one column is generally stable. Disruption of two or more is unstable.		**Disruption of one column is generally stable. Disruption of two or more is unstable.

Panosiaa at 21:12, 5 July 2017

2017-07-05T21:12:59Z

← Older revision		Revision as of 21:12, 5 July 2017
Line 12:		Line 12:


	*~~Peds~~		*Pediatrics
	**Most pediatric fractures occur higher than C3		**In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region
			**In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region. Most pediatric fractures occur higher than C3 <ref>http://pediatrics.aappublications.org/content/pediatrics/133/5/e1179.full.pdf </ref>
	**Pseudosubluxation of C2-C3 is common in children <8yr		**Pseudosubluxation of C2-C3 is common in children <8yr
	***To distinguish from true dislocation or fracture:		***To distinguish from true dislocation or fracture:
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	==References==		==References==
	<references/>		<references/>

	[[Category:Neurology]]		[[Category:Neurology]]

Panosiaa: /* Background */

2017-07-05T20:58:46Z

Background

← Older revision		Revision as of 20:58, 5 July 2017
Line 1:		Line 1:
	==Background==		==Background==
	*Make sure that the C7-T1 junction is adequately visualized		*Make sure that the C7-T1 junction is adequately visualized
	**~~Obtain swimmer's~~ view ~~or oblique view if inadequate~~		**Cervical Spine Radiographic series contains 3 views
			***Anteroposterior
			***Lateral
			***Open mouth odontoid view
			*Look for alignment of four parallel vertical columns that follow a slightly lordotic curve without any step offs
			**Anterior Vertebral Line: anterior to the vertebral body alternating with intervertebral disks surrouded by anulus fibrosus and anterior longitudinal ligament
			**Posterior Vertebral Line: posterior to the vertebral body alternating with intervertebral disks surrouded by anulus fibrosus and posterior longitudinal ligament
			**Spinolaminar Line- anterior edge of the spinous process
			**Posterior Spinous Line-spinous process, nuchal ligament, interpsinous and supraspinous ligaments, and ligamentum flavum


	*Peds		*Peds
	**Most pediatric fractures occur higher than C3		**Most pediatric fractures occur higher than C3
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	****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3		****Draw line from cortex of post arch of C1 to cortex of posterior arch of C3
	****This line should pass through or be <1mm ant to posterior arch of C2		****This line should pass through or be <1mm ant to posterior arch of C2
	*Most common approach is to evaluate three parallel vertical columns
	**Anterior column: alternating vertebral bodies and intervertebral disks surrouded by anulus fibrosus and anterior longitudinal ligament
	**Middle column: posterior parts of annulus fibrosis and posterior vertebral wall, posterior lognitudinal ligament, spinal cord, paired laminae and pedicles, articulating facets, transverse processes, nerve roots and vertebral arteries/veins
	**Posterior column: spinous process, nuchal ligament, interpsinous and supraspinous ligaments, and ligamentum flavum.
	**Disruption of one column is generally stable. Disruption of two or more is unstable.		**Disruption of one column is generally stable. Disruption of two or more is unstable.

Josgood: /* Background */

2017-04-24T02:10:30Z

Background

← Older revision		Revision as of 02:10, 24 April 2017
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	**Obtain swimmer's view or oblique view if inadequate		**Obtain swimmer's view or oblique view if inadequate
	*Peds		*Peds
	**Most pediatric ~~fracture~~ occur higher than C3		**Most pediatric fractures occur higher than C3
	**Pseudosubluxation of C2-C3 is common in children <8yr		**Pseudosubluxation of C2-C3 is common in children <8yr
	***To distinguish from true dislocation or fracture:		***To distinguish from true dislocation or fracture:
Line 10:		Line 10:
	*Most common approach is to evaluate three parallel vertical columns		*Most common approach is to evaluate three parallel vertical columns
	**Anterior column: alternating vertebral bodies and intervertebral disks surrouded by anulus fibrosus and anterior longitudinal ligament		**Anterior column: alternating vertebral bodies and intervertebral disks surrouded by anulus fibrosus and anterior longitudinal ligament
	**Middle column: ~~poster~~ parts of annulus fibrosis and posterior vertebral wall, posterior lognitudinal ligament, spinal cord, paired laminae and pedicles, articulating facets, transverse processes, nerve roots and vertebral arteries/veins		**Middle column: posterior parts of annulus fibrosis and posterior vertebral wall, posterior lognitudinal ligament, spinal cord, paired laminae and pedicles, articulating facets, transverse processes, nerve roots and vertebral arteries/veins
	**Posterior column: spinous process, nuchal ligament, ~~ineterpsinous~~ and ~~suprspinous~~ ligaments, and ligamentum flavum.		**Posterior column: spinous process, nuchal ligament, interpsinous and supraspinous ligaments, and ligamentum flavum.
	**Disruption of one column is generally stable. Disruption of two or more is unstable.		**Disruption of one column is generally stable. Disruption of two or more is unstable.

Rossdonaldson1: Text replacement - "peds " to "pediatric "

2016-10-20T06:56:34Z

Text replacement - "peds " to "pediatric "

← Older revision		Revision as of 06:56, 20 October 2016
Line 3:		Line 3:
	**Obtain swimmer's view or oblique view if inadequate		**Obtain swimmer's view or oblique view if inadequate
	*Peds		*Peds
	**Most ~~peds~~ fracture occur higher than C3		**Most pediatric fracture occur higher than C3
	**Pseudosubluxation of C2-C3 is common in children <8yr		**Pseudosubluxation of C2-C3 is common in children <8yr
	***To distinguish from true dislocation or fracture:		***To distinguish from true dislocation or fracture: