Orthopedics Book

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Open Mouth Odontoid

Aka: Open Mouth Odontoid
  1. See Also
    1. Cross-Table Lateral C-Spine
    2. C-Spine XRay
  2. Evaluation: Adequate film criteria
    1. Entire odontoid and lateral borders of C1-C2 seen
    2. C1-2 Fractures are very high risk and more common at the extremes of age (very young and old)
  3. Evaluation: Alignment
    1. Lateral borders of c1 and c2 Vertebrae should line up
    2. Vertebral landmarks shifted in on one side
      1. Should be shifted out on other side
  4. Evaluation: Bony Margins
    1. Odontoid should have uninterrupted cortex to C2
    2. Odontoid view C1 and C2 should line up

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