By Prof. Dr. Jean-Francois Bonneville, Dr. Francoise Cattin (auth.)
The 1st exam of the cervical backbone is often made utilizing common radiographs and, frequently adequate, this suffices as a foundation for analysis. Malformations, tumours, and extra often traumas, rheumatism, or even traditional neck ache require radiological exam of the backbone. Interpretation, besides the fact that, is hard. Take a cervical vertebra on your hand and you'll see that it really is complicated sufficient itself. In radiology the overlapping items of bone, summation phenomena and the variety of viewing angles complicate interpretation of the photographs nonetheless additional. The ebook via J.-F. Bonneville and F. Cattin indicates an unique approach to analyzing the radiographs, strict yet very appealing, which significantly simplifies the translation of pictures of the cervical backbone. This publication indicates that - or threedimensional computed tomograms accompany commonplace radiographs as an exceptional relief to comprehension. it's as if the reader had entry to every a part of the bony anatomy proven within the radiographs and from then on every little thing turns into effortless, superimpositions disappear, traps come into sight, anatomy triumphs, the picture lives.
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Extra info for Cervical Spine: Tricks and Traps: 60 Radiological Exercises for Students and Practitioners
In fact, there are also other differences between the two radiographs , which you would have been able to spot if your analysis had been systematic. In a, the spinolaminar line of C2 is missing, as arch is not fused. On the other hand, there are alternating areas of sclerosis and osteolysis, indicating mixed metastatic lesions. Finally, the safety space is missing, particularly at C3, C4 and C5, indicating associated stenosis of the canal, which will be discussed later. c 29 15 b a 30 15 Case 15 Let us return to the oblique radiographs: we know very well that these projections permit the visualisation of the intervertebral foramina, but we have already said that it is definitely more useful to examine first of all the ...
The neighbouring bone is normal. The three-dimensional CT scan (c) confirms the absence of the pedicle which is an anatomical variant with no pathological significance. In this case, pedicular agenesis is associated with hypoplasia of the posterior tubercle of the transverse process. This is frequently associated with spina bifida. Pedicular agenesis is mostly encountered at C5 or C6. c 33 17 a b c d 34 17 Case 17 As you know the pedicles well by now, please suggest the diagnosis in these two patients.
Harris's ring is destroyed in C2 fractures extending below the base of the odontoid process. The visualisation of Harris's ring is not at all uniform; it depends on the form of the C2 articular processes and on the orientation of the X-ray beam. 41 21 a b 42 21 Case 21 Posterior interapophyseal degenerative changes, degenerative changes of the uncinate process with narrowing of the left C6-C7 intervertebral foramen, huge anterior osteophytes (a) ... , but what is really a cause for concern is a large lacuna at C5: what is your diagnosis?
Cervical Spine: Tricks and Traps: 60 Radiological Exercises for Students and Practitioners by Prof. Dr. Jean-Francois Bonneville, Dr. Francoise Cattin (auth.)