Orthopedics Book

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Cervical Spine XRay in Disc Herniation

Aka: Cervical Spine XRay in Disc Herniation, C-Spine XRay in Herniated Disc
  1. See Also
    1. Cervical Spine XRay in Acute Traumatic Injury
  2. Indications: Suspected Cervical Disc Herniation
    1. Persistent symptoms despite 2 weeks rest
    2. Neurologic deficit
  3. Views
    1. Anteroposterior C-Spine XRay
    2. Lateral C-Spine XRay
    3. Oblique C-Spine XRay (shows foramen)
  4. Findings: Disc Herniation
    1. Chronic disc degenerative disease
      1. Decreased disc space height
      2. Osteophytes Anteriorly and Posteriorly
        1. Encroachment of Osteophytes on foramen
    2. Acute disc disease
      1. Xray usually normal in acute soft disc rupture
  5. Precautions
    1. Asymptomatic adults have abnormal XRAYs in 35% of cases
    2. Good history and examination is diagnostic cornerstone

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