Cervical spine radiography - Revision history

Rossdonaldson1: Changed redirect target from Cervical spine x-ray to Cervical spine x-ray interpretation

2021-05-13T19:13:18Z

Changed redirect target from Cervical spine x-ray to Cervical spine x-ray interpretation

← Older revision		Revision as of 19:13, 13 May 2021
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	#REDIRECT[[Cervical spine x-ray]]		#REDIRECT[[Cervical spine x-ray interpretation]]

Mholtz: Redirected page to Cervical spine x-ray

2018-03-02T08:47:18Z

Redirected page to Cervical spine x-ray

← Older revision		Revision as of 08:47, 2 March 2018
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	#REDIRECT [[C-~~Spine X-Ray~~]]		#REDIRECT[[Cervical spine x-ray]]

Mholtz: Redirect to already existing page on same topic

2016-03-08T04:45:15Z

Redirect to already existing page on same topic

← Older revision		Revision as of 04:45, 8 March 2016
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			#REDIRECT [[C-Spine X-Ray]]
	~~==Background==~~
	*Anatomy and general approach similar in plain films and CT

	~~==Plain films==~~
	*Standard radiographs are thee-view trauma series
	*Similar approach of reading plain films to ED screening of a c-spine CT

	~~==General==~~
	*Most common approach is three parallel vertical column model by Denis
	**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
	**Posterior column: spinous process, nuchal ligament, ineterpsinous and suprspinous ligaments, and ligamentum flavum.

	[[~~File:Denis Spinal Columns.jpg\|thumbnail]]~~
	~~http://radiopaedia.org/articles/three-column-concept-of-spinal-fractures~~

	*Disruption: in one column - generally stable. in two columns - stable in one direction but unstable in another. in three columns - highly unstable.

	~~==Approach==~~
	*Pneumonic: AABCDS
	**Adequacy - ensure adequate visualization to C7-T1 interface
	**Alignment - Assess alignment of 4 parallel lines
	***Anterior vertebral line
	***Posterior vertebral line
	***Spinolaminar line
	***Posterior spinous line
	~~[https://www.med-ed.virginia.edu/Courses/rad/cspine/interpretation2.html Alignment of~~ C-Spine]
	**AOA - antlanto-occipital alignment - anterior margin of foraement magnum should line up with the dens
	~~[https://www.med-ed.virginia.edu/Courses/rad/cspine/interpretation3.html Atlanto-occipital alignment~~]
	***Bony Landmarks - there should be an smooth outline to each of vertebrae
	~~***~~



	~~==Management==~~

	~~==Disposition==~~

	~~==See Also==~~

	~~==External Links==~~

	~~==References==~~
	~~<references/>~~
	~~http://nypemergency.org/reading_emergency_images/c-spine.html~~
	~~https://www.med-ed.virginia.edu/Courses/rad/cspine/interpretation5.html~~

TWilson: first approach to reading c-spine films (not finished)

2016-03-08T02:01:23Z

first approach to reading c-spine films (not finished)

New page

==Background==
*Anatomy and general approach similar in plain films and CT

==Plain films==
*Standard radiographs are thee-view trauma series
*Similar approach of reading plain films to ED screening of a c-spine CT

==General==
*Most common approach is three parallel vertical column model by Denis
**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
**Posterior column: spinous process, nuchal ligament, ineterpsinous and suprspinous ligaments, and ligamentum flavum.

[[File:Denis Spinal Columns.jpg|thumbnail]]
http://radiopaedia.org/articles/three-column-concept-of-spinal-fractures

*Disruption: in one column - generally stable. in two columns - stable in one direction but unstable in another. in three columns - highly unstable.

==Approach==
*Pneumonic: AABCDS
**Adequacy - ensure adequate visualization to C7-T1 interface
**Alignment - Assess alignment of 4 parallel lines
***Anterior vertebral line
***Posterior vertebral line
***Spinolaminar line
***Posterior spinous line
[https://www.med-ed.virginia.edu/Courses/rad/cspine/interpretation2.html Alignment of C-Spine]
**AOA - antlanto-occipital alignment - anterior margin of foraement magnum should line up with the dens
[https://www.med-ed.virginia.edu/Courses/rad/cspine/interpretation3.html Atlanto-occipital alignment]
***Bony Landmarks - there should be an smooth outline to each of vertebrae
***

==Management==

==Disposition==

==See Also==

==External Links==

==References==
<references/>
http://nypemergency.org/reading_emergency_images/c-spine.html
https://www.med-ed.virginia.edu/Courses/rad/cspine/interpretation5.html