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Cervical Spine
Projections,positions,Area of interest, best seen criteria for Cervical Spine
Question | Answer |
---|---|
What is the area of interest for a Open Mouth Odontoid position of the Cervical spine? | C1 and C2 - Zygapophyseal joints |
What is the SID for a open mouth odontoid position of the cervical spine? | 40" SID |
What is the direction of the CR for an AP projection open mouth position of the cervical spine? | Perpendicular to center of the IR or(angle 5deg to get incisors off of dens) |
Where do you center for an open mouth position of the cervical spine? | Parallel with the Mentomeatal line; Center midsagittal plane of body to midline of grid |
What is the area of interest for an AP Fuchs position of the cervical spine? | Dens within the foramen magnum |
What is the direction of the CR for an AP Fuchs position of the cervical spine? | Perpendicular to midpoint of the IR; parallel to the MML (mentomeatal line) directed to the tip of mandible |
What is the SID for an AP Fuchs position of the cervical spine? | 40" SID |
What do you want to see on an AP Axial position of the cervical spine? | Open intervertebral disk spaces |
What is the area of interest for a AP axial position of the cervical spine? | Area from C3 to T2/T3 |
Where do you center for an AP Axial position of the cervical spine? | At level of C4 - Center midsagittal plane of body to center line of IR |
At what angle and in what direction is the angulation of the CR for an AP Axial position of the cervical spine? | Directed through C4 at angle of 15deg - 20deg cephalic |
What do you want to see on a Lateral position of the cervical spine? | Zygapophyseal-joints and open intervertebral disk spaces |
What is the area of interest for a Lateral position of the cervical spine? | Area from C1 through C7/T1, Zygapophyseal joint spaces, open intervertebral disk spaces |
If you are not able to visualize C7/T1 on a lateral projection of the cervical spine, what is an additional procedure that must be performed? | Cervicothoracic - Lateral Swimmers |
Where do you center for a lateral position of the cervical spine? | At level of C4 (top of IR 1 inch above EAM) |
What does MML stand for? | Mentomeatal line |
What does EAM stand for? | External Acoustic Meatus |
What does OML stand for? | Orbitomeatal Line |
What is the direction of the CR for a Lateral position of the cervical spine? | Perpendicular to C4 at level of the thyroid cartilage (Adam's apple) |
What is the SID for a lateral position of the cervical spine? | 72" SID |
What projections are used for visualizing the mobility of the cervical spine? | Lateral Hyperflexion & Hyperextension |
What is the SID for a Lateral Hyperflexion/Hyperextension of the cervical spine? | 72" SID |
What is the area of interest for a lateral hyper flexion/hyperextension of the cervical spine? | Area of C1-C7, spinous processes in profile, open intervertebral disk spaces, Zygapophyseal-joint spaces |
Where do you center for a lateral hyper flexion/hyperextension of the cervical spine? | At level of C4 (top of IR 2 inches above EAM) |
What is the direction of the CR for lateral hyper flexion/hyperextension of the cervical spine? | Horizontal and perpendicular to C4 or at level of the thyroid cartilage (Adam's apple) |
What is the respiration for a lateral cervical spine projection? | Suspend respiration at the end of full expiration to obtain maximum depression of the shoulders |
What is the area of interest on an Axial Oblique position of the cervical spine? | Intervertebral foramina |
What is the SID for an AP/PA Axial Oblique position of the cervical spine? | 60-72" SID to reduce magnification due to OID |
For an AP Axial Oblique of a cervical spine with the patient in RPO/LPO, which side is the area of interest? Side up or Side down? | AP - SIDE UP area of interest |
For an PA Axial Oblique of a cervical spine with the patient in RAO/LAO, which side is the area of interest? Side up or Side down? | PA - SIDE DOWN area of interest |
What is the degree of body rotation for a Oblique projection of the cervical spine? | 45degrees |
What is the CR direction and angulation for an AP oblique projection of the cervical spine? | Directed at C4 at 15-20degrees cephalic - SIDE UP area of interest |
What is the CR direction and angulation for an PA oblique projection of the cervical spine? | Directed at C4 at 15-20degrees caudal - SIDE DOWN area of interest |
What is the area of interest for a Lateral Cervicothoracic (Swimmers) projection? | C7-T1 best seen without superimposition of the humeral head |
Where do you center for a lateral Swimmers position of the cervical spine? | At level of C7/T1 - (vertebral prominence) - 2 inches above jugular notch |
What is the SID for a Lateral Cervicothoracic (Swimmers) projection? | 40" SID |
What focal spot should be used for any Cervical spine position? | Small Focal Spot |
What position is best used to see the Zygapophyseal joints of C1-C2? | Open mouth - odontoid |
What position is best used to see the dens within the foramen magnum? | Ap Fuchs |
What position is best used to see the Zygapophyseal joints of the cervical spine? | Lateral |
What position is best used to see the open intervertebral disk spaces of the cervical spine? | AP Axial |
What position is best used to see the intervertebral foramina of the cervical spine? | Obliques (AP - SIDE UP area of interest) (PA - SIDE DOWN area of interest) |
What is the name of the curve for the cervical spine? | Lordotic curve |
How many cervical spine are there on a normal patient? | 7 |
What is the name of the first cervical vertebrae? | Atlas |
What is the name of the second cervical vertebrae? | Axis |
What is a facet joint ? | A place where two or more joints are joined - Superior articular facet, inferior articular process |
What is a zygapophyseal joint? | Where two or more bones are joined |