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Virtual Pediatric Hospital: Paediapaedia: Approach to Cervical Spine Interpretation Paediapaedia: Neurological Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Cervical Spine Interpretation

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

Approach/Discussion:
Make sure you can see C7-T1
Check the open mouth view for a Jefferson fracture
Check the alignment of the spine by checking 4 lines : anterior part of the vertebral bodies, posterior part of the vertebral bodies = anterior border of spinal canal, posterior border of the spinal canal, posterior border of the spinous processes
Check articular facets and neural foramina
Check cervical-basilar relationships
Check prevertebral soft tissues
Check sinuses for air fluid levels and other skull structures for fractures

References:
See References Chapter.

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