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There are two main algorithms, the Canadian C-spine rule and NEXUS, which are used to decide who requires cervical spine imaging via CT scan [6] after blunt trauma, and who can be cleared without imaging. [4] The Canadian C-spine rule appears to have greater sensitivity and specificity (i.e. fewer false positives and false negatives). [17]
Myelography is a type of radiographic examination that uses a contrast medium (e.g. iodised oil [1]) to detect pathology of the spinal cord, including the location of a spinal cord injury, cysts, and tumors. Historically the procedure involved the injection of a radiocontrast agent into the cervical or lumbar spine, followed by several X-ray ...
EOS is a medical imaging system designed to provide frontal and lateral radiography images, while limiting the X-ray dose absorbed by the patient in a sitting or standing position. The system relies on the high sensitivity of a detector ( multi-wire chamber ) invented by Georges Charpak , which earned him the 1992 Nobel Prize .
A radiographic evaluation using an X-ray, CT scan, or MRI can determine if there is damage to the spinal column and where it is located. [10] X-rays are commonly available [ 89 ] and can detect instability or misalignment of the spinal column, but do not give very detailed images and can miss injuries to the spinal cord or displacement of ...
Position of C7 shown in red. The vertebra prominens , or C7, has a distinctive long and prominent spinous process, which is palpable from the skin surface. Sometimes, the seventh cervical vertebra is associated with an abnormal extra rib, known as a cervical rib , which develops from the anterior root of the transverse process.
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A 64-slice CT with reconstructions does not entirely rule out ligamentous injury leading to instability, but is a practical means of identifying the majority of C-spine injuries in obtunded patients. MR C-spine has frequent false-positives, limiting its usefulness. [citation needed] In these cases, a consultation with a Spine Surgery specialist ...
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