Imaging the Spine Flashcards

1
Q

what MSK features do x rays show?

A

bone outlines only

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2
Q

what MSK features do CTs show?

A

bone outlines in detail

some soft tissue structures eg lumbar discs

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3
Q

what MSK features do MRIs show?

A
bone outlines
bone marrow
discs
ligaments
spinal cord
nerves
(all soft tissue structures)
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4
Q

are lumbar or cervical vertebrae bigger?

A

lumbar

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5
Q

what is in the posterior arch of vertebrae?

A

2 pedicles
2 laminae
1 spinous process
2 transverse processes

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6
Q

where does the neural foramen lie?

A

inferior to the pedicle

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7
Q

what does the neural foramen contain?

A

spinal nerves

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8
Q

how are facet joints formed?

A

articular processes project superiorly and inferiorly between the pedicles and laminae

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9
Q

should consecutive vertebrae be the same size?

A

yes

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10
Q

what structures cross over the transverse processes of the thoracic vertebrae?

A

ribs

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11
Q

which vertebra has no vertebral body?

A

C1

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12
Q

what do the anterior and posterior arches of C1 articulate with?

A

occipital bone

C2

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13
Q

which vertebra contains the odontoid process?

A

C2

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14
Q

what does the odontoid process form and how does it do this?

A

forms a joint with C1’s anterior arch by projecting superiorly into it

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15
Q

when would you do CT straight away in a suspected fracture patient?

A

if it was a high energy injury eg car crash and involves a head injury

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16
Q

when would you do a CT after an x ray?

A

need more detail
looking for more fractures
x ray normal but suspect a fracture

17
Q

what is considered to be the “sleeve” of the polo mints when the polo mints are the spine?

A

spinal ligament

18
Q

what imaging should you use to see intervertebral ligaments?

A

MRI

19
Q

how can you tell on a CT/X ray if the ligaments are ok?

A

there is normal vertebral alignment

20
Q

what soft tissue problems can be seen on MRI?

A

slipped disc
epidural haematoma
spinal cord damage

21
Q

features of a tumour on x ray

A

bone destructiom
vertebral collapse
bone sclerosis

22
Q

early MRI features of a bone tumour

A

bone marrow infiltration

23
Q

late MRI features of a bone tumour

A

extradural mass and spinal cord compression

24
Q

can you see intervertebral discs on x ray?

A

no

25
Q

imaging to see the spinal cord?

A

MRI

26
Q

causes of spinal cord disease?

A

trauma
demyelination
tumour
ischaemia