The related article that I've included on this page is about cervical radiographic projections and Matt has created a series of great illustrations to accompany these, so I would certainly recommend checking them out if you are interested. I particularly like the section where he points out the differences between the T1 transverse process and the C7 transverse process, and the idea of the articular pillar having a sinusoidal margin on the frontal projection, which becomes really handy to know later in this learning pathway when he discusses facet joint degeneration. Pre-vertebral soft tissue swelling is also described. Typical fracture patterns include Jefferson fracture, hangman fracture, extension teardrop, flexion teardrop, perched facet joints, and clay shovelers fracture. Fractures of C1 - atlas, C2 axis, C-spine vertebral bodies and fracture dislocations are discussed. The anatomy that Matt chooses to focus on is particularly useful from an interpretation perspective, like appreciating the normal anteroinferior margin of the vertebral body on the lateral projection and the normal airway outline on the AP projection. Learn about cervical spine fractures as seen on X-ray. He assumes a basic level of existing anatomy knowledge, so I've created some additional annotated images for you to scroll through to supplement this. Matt begins his lecture by running through some normal cervical spine radiographic anatomy. In large series, males out number females from 1.5 to 1.9:1 14, 34, 54, 79. Report problem MENU NEXT Audio transcript Most pediatric cervical spine injuries are a result of blunt trauma 79. demonstrated the intervertebral foramina of the side positioned closer to the image receptor.demonstrates the intervertebral foramina of the side positioned further from the image receptor.also known as a 'peg' projection it demonstrates the C1 (atlas) and C2 (axis).anterior-posterior relationship of the vertebral bodies.soft tissue structures around the c spine.anteroposterior projection of the cervical spine demonstrating the vertebral bodies and intervertebral spaces.Note: in the absence of CT 5 views of the C-spine should be performed: AP, lateral, obliques and odontoid 5. IndicationsĬervical spine radiographs are indicated for a variety of settings including 1-3:Ī decision to pursue C-spine imaging of any kind should be cross-referenced with the 'Canadian C-Spine Rule' for C-spine imaging due to its high sensitivity and specificity 4. It is more pronounced in flexion and is of clinical significance as it can be. It is common in children <7 years, and less often present in older children. Pseudosubluxation of the cervical spine is the physiological anterior displacement of C2 on C3 in children. A CT scan should be performed whenever there is concern for a fracture following low energy trauma. 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. Citation, DOI, disclosures and article data. Diagnosis can be confirmed with radiographs of the cervical and thoracic spine.
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