How to Order and Interpret Radiology Studies
How to Order and Interpret Radiology Studies
How to Order and Interpret Radiology Studies
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Cervical Spine Injuries<br />
AP view<br />
– Spinous processes<br />
should line up<br />
midline<br />
– Vertebral bodies &<br />
articular pillars also<br />
line up<br />
– Vertebral body<br />
height<br />
Cervical Spine Injuries<br />
Odon<strong>to</strong>id view<br />
– C1-2 2 articulation<br />
– Alignment<br />
Gaps between C1<br />
lateral masses &<br />
C2 dens (odon<strong>to</strong>id(<br />
odon<strong>to</strong>id)<br />
Lateral margins of<br />
C2 articulating<br />
facet & C1 lateral<br />
masses<br />
– Fractures<br />
Dens<br />
Jefferson fracture – ring of C1 broken<br />
from axial loading<br />
Cervical Spine Injuries<br />
Dynamic flexion-extension<br />
extension<br />
– Active voluntary test<br />
– Undetected<br />
ligament<br />
disruption or<br />
instability<br />
– Requires alert,<br />
cooperative<br />
patient<br />
s<strong>to</strong>pping for<br />
pain or<br />
paresthesias<br />
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