Radiology/Clinical Anatomy of the Back - Dr. Benninger
Basic three images of cervical spine
1. Long AP 2. Lateral include T1 3. Open mouth AP
Three lines of the lateral view
- 1) Anterior margin of vertebral body - 2) Posterior margin of vertebral body - 3) Bases of spinous processes
Why lateral view?
-Odontoid peg is visible -70% pathologies detectable from lateral view
What to look for in lateral view?
- Osteophytes (bone spurs or projections) on bone - Distance between bones is no more than 3 millimeters in adults and 5 millimeters in children
What to look for in Long AP view?
- bilateral uniformity. - No space is 50% wider than one above or below it. ---if patient has neck spasms could be more --- - Spinous processes lining up. - Space on each side of odontoid peg should be equal
Where are vertebral injuries most common in cervical spine?
Significance of Psoas major AP view?
If you can't see it, there may be a hematoma or aneurysm blocking your view. Red flag!