PPT-Anatomy & Interpretation of Cervical Spine Radiographs

Amy Gutman MD Chief of Emergency Medicine prehospitalmdgmailcom Objectives Interdepartmental QA project to improve diagnostic accuracy amp decrease number of reflexive sendouts for radiology reads of commonly ordered radiographs. Chapter 11 . Anatomy. Spinal column. Vertebrae. Cervical (7). convex anteriorly. Thoracic (12). concave anteriorly. Lumbar (5). convex anteriorly. Sacral (5 fused). concave anteriorly. Coccyx (4 fused). SPINE TRAUMA . CERVICAL SPINE INJURY. THORACO-LUMBAR SPINE INJURY. CERVICAL SPINE INJURY. COMMON MECHANISMS OF INJURY. . HYPERFLEXION- . MVA, CAR COMES TO SUDDEN STOP. HYPEREXTENSION- MVA, CAR STRUCK FROM BEHIND. I. sland . H. oppers . T. eaching, LLC. presents. The . Cervical Spine: Level One. August 15. th. and 16. th. , 2015. Location: . Ohau. . Shriners. Hospitals for Children — Honolulu 1310 . Punahou. Grand Rounds. February 4, 2016. The Utility of Flex-Ex Radiographs after Negative CT in Blunt Trauma. Objectives. Assess the diagnostic information that FE radiographs add after a negative cervical spine CT scan. Shari Cui MD & John France MD. February 2016. Original: . . Steven . Frick, MD; March 2004. . Past Revised. : . Steven Frick, MD; August 2006. . Timothy . Moore, MD; November . 2011. Important Pediatric Differences. http://youtu.be/aDvbAvBLQuM. Ligaments and Vertebral Discs. Muscular Anatomy. Neurological Anatomy. Prevention of Injuries to the Spine. Cervical Spine. Muscle Strengthening. Muscles of the neck resist hyperflexion, hyperextension and rotational forces. neuro. deficits, and a . negative CT. High clinical suspicion and severe . c. ervical . s. pondylosis. -> . MRI. Otherwise . use clinical judgment, but likely no benefit from MRI and increased risk of . Dr . La li Sekho n MD , PhD , FRACS , FACS , FAAN S Curr i cu l u m V it a e CONTACT DETA I L S ls e khon @ sierr an e u r o s u r g er y .c o m T el : 775 - 323 - 2080 F a x : 775 - 657 - 9881 S ierr Typical Cervical Vertebra C3-6. Small, relatively broad body. Bifid . Spinous. Process. Long and narrow . laminae. Spinal Canal:. large, triangular; remarkably consistent dimensions. Transverse Foramen:. Fractures. Ruling out fractures in direct access environment. Negative X rays does not guarantee there is not fracture. Clinical recognition of fracture is difficult . Clinical Indicators. Trauma. Immediate posttraumatic onset of severe pain. Presented by - Dr. . Khanak . Nandolia. Senior Resident. Moderator – . Dr. . Sudhir. . Saxena. Professor and Head. . Outline. Introduction. Technique. Normal anatomy. Evaluation. How are X-rays produced?. Stanford Hospital and Clinics. April 26, 2010. Motion segment. VERTEBRAE. Carry 70-90% of static axial load. Vary in cervical, thoracic, lumbar, sacral and . coccygeal. FACET JOINT. Carry 10-20% of static axial load. DR.SANAA AL-SHAARAWY.. CERVICAL SPINES. By the end of this lecture the student should be able to:. Describe the . 7 cervical vertebrae. , (typical & atypical).. Describe the . joints. between the cervical vertebrae.. PATHOPHYSIOLOGY. 25% cervical trauma occurs in the upper cervical spine.. Most commonly involving the axis, comprising up to 20% of cervical spine injuries.. Atlas fractures occur in 3 – 13% of patients..