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CERVICAL RETDEMS
CERVICAL POSITIONING
| Question | Answer |
|---|---|
| 7 CERVICAL PROJECTIONS | AP OPEN MOUTH LATERAL PROJECTION AP AXIAL PROJECTION AP AXIAL VERTEBRAL ARCHS (PILLARS) ANT & POS OBLIQUE PROJECTIONS LATERAL HYPEREXTENSION AND HYPERFLEXION AP/PA (FUCHS/JUDD) |
| AP OPEN MOUTH | Fractures involving C1 and C2 Demostrate Odontoid and Jeffersons fracture Erect or Supine Lower margin of Upper Inscisor is perp to IR (mastoid tips) Open Mouth Perp to IR Through center of open mouth |
| LATERAL PROJECTION | Spondylosis and Osteoarthritis Erect Lateral Top of IR is 1-2 inches above EAM Depress shoulders Protract Chin Perp to IR C4 (upper margin of TC) |
| AP AXIAL PROJECTION | Clay shovler's fracture, compression fractures and HNP Herniated Nucleus Pulposus Supine or Erect Lower Margin of Upper Inscisor is Perp to IR (mastoid tips) 15-20 Deg Cephalad C4 Lower margin of TC |
| AP AXIAL VERTERBRAL ACRH (PILLARS) | Pathology of the posterior vertebral arch C-4-C-7 Whiplash Supine Neck Hyperextend (see warning) 20-30 Deg Caudad C5 Lower margin of the TC |
| ANT & POS OBLIQUE | Stenosis of the intervertebral foramen Erect/Recumbent 45 deg head and body rotation Protract Chin ANT 15 Caudad POS 15 Cephalad C4 |
| LATERAL HYPEREXTENSION & HYPERFLEXION | Rule out Whiplash or follow up after Spinal fusion surgery Erect Lateral Relax and Drop shoulders HyperFlexion: CHIN on CHEST HyperExtension: CHIN RAISED and HEAD TILT C4 |
| AP/PA (FUCHS and JUDD) | Pathology involving Dens Supine/Prone FUCHS: Elevate chin so MML almost perp to IR JUDD: Chin on IR chin still extended for MML to be nearly perp to IR Parallel to MML FUCHS: (inferior mastoid tip) JUDD: Midoccipital Bone (1 inch inferoP to MT & A |