Radiographic Imaging Flashcards
Nexus Guideline
- Focal Neuro Deficit
- Presence of midline spine tenderness
- Altered LOC
- Presence of intoxication
- Distracting Injury
CCR Guideline
- Any High-Risk Factors
- No High-Risk Factors but pain with exam
- No High-Risk Factors, No pain, but Limted ROM
What are the three views of the Cervical Spine?
Anterior-Posterior (AP)
Lateral
Odontoid
What are the four anatomical lines of the C-Spine
A. Anterior Vertebral
B. Posterior Vertebral
C. Spinolaminar
D. Posterior Spinous Process
Which view can identify abnormals easiest in the C-Spine
Lateral
What is the ABCDEs of imaging?
A = Adequacy/Airway
B = Breathing/Birdcages
C = Cardiac/Circulation
D = Diaphragm
E = Edges
S = Skeleton/Soft tissue
What are the normal bone structures of the cervical spine?
- Pedicles
- Facet Joint
- Lamina
- Spinous Process
- Lateral Mass
- Predental Space
What size should the predental space be in an adult?
3 mm in adults
5 mm in children
Where do most Cervical Fractures occur?
Between C3-C7
What are the common C-Spine injuries?
- Jefferson Fracture
- Odontoid Fracture I-III
- Hangmans Fracture
- Teardrop Fracture
- Dislocation
- Subluxation
- Clay Shovelers Fracture (Spinous Process)
- Compression Fracture
- Dgenerative Changes
What are some C-Spine degenerative changes that you can note on radiograph?
- Loss of disc height
- bone spurring
- Prevetebral swelling
C-spine radiographs may be beneficial in identifying…
- Fractures
- Subluxations
- Dislocations
- Degenerative change
What are the two views of the Thoracic Spine?
- A/P view
- Lateral view
Evaluation of the AP thoracic view
- Pedicle
- Spinous Process
- Transverse Process
