Lines of Mensuration Flashcards
Basilar angle:
Frontal-nasal to sella turcica (1)
Anterior foramen magnum to sella turcica (2)
Measure angle of intersection
Should not exceed 152 degrees (minimum 137 degrees)
Significance: high angle indicates elevation of skull base
Chamberlain line:
Posterior hard palate to foramen magnum (opisthion)
Tips of dens should not exceed 7mm above line
Significance: basilar invagination/impression
Digastric line (aka biventer line): Straight line from right to left digastric grooves
Tip of dens should not be above line
Normal range: 10-12mm
Significance: basilar invagination/impression
McGregor line:
Posterior hard palate to inferior occiput
Dens should not exceed 8mm above line (men) or 10mm above line (women)
Significance: basilar invagination/impression
McRae line:
Basion to opisthion (1)
Vertical line from tip of dens to first line (2)
Posterior occiput should be below line (1)
line (2) should intersect the anterior 1/4 of line (1)
Significance: basilar invagination/impression
The sella turcica should not exceed what dimensions?
Maximum of 16mm horizontal and 12mm deep
The “atlantoaxial overhang” sign suggests what and which view is it seen on?
Suggests fracture of C1, seen on APOM
The atlanto-dental interval (ADI) should not exceed what measurement?
Maximum of 3mm in adults and 5mm in children
An enlarged ADI can be associated with the following conditions
Down syndrome Morquio syndrome Larsen syndrome Rheumatoid arthritis Ankylosing spondylitis
Cervical gravity line:
Vertical line from tips of dens to C7
The line should intersect vertebral body C7
Significance: anterior/posterior weight-bearing posture if the line intersects anterior/posterior to vertebral body C7
Cervical Jackson stress lines:
Measured on flexion/extension films
One line along posterior body of C2 (1)
One line along posterior body of C7(2)
Lines should intersect at C4-5 (extension) and C5-6 (flexion)
Significance: intersection of lines is believed to occur at levels of greatest stress
What is the average degree of cervical lordosis?
34 degrees
What is the normal measurement of cervical prevertebral soft tissues?
Should not exceed 5mm at C2
Should not exceed 20mm at C6
What is the normal size of the spinal canal in the cervical spine?
Measured between the posterior vertebral body to the spinolaminar junction line At least 16mm at C1 At least 14mm at C2 At least 13mm at C3 At least 12mm at C4-C7
George’s line is drawn along what part of the vertebral bodies?
Along the posterior vertebral bodies
What is the minimum size of the A-P diameter of the thoracic cage?
From the posterior surface of the sternum to the anterior margin of T8
9cm in females
11cm in males
What is the average degree of thoracic kyphosis?
30 degrees
What is the average intervertebral disc angle at L4-5 and L5-S1?
14 degrees
The lumbar gravity line:
Vertical line from the middle of vertebral body L3 to the sacrum
The line should intersect the anterior 1/3 of the sacral base
Anterior weight-bearing: increases shear stress on lumbar discs
Posterior weight-bearing: increases stress on facet joints
What is the average degree of lumbar lordosis?
50-60 degrees