Imaging in Spine Surgery

Adult Rheumatoid Arthritis

KEY FACTS Imaging Erosions of dens, uncovertebral joints, facet joints Atlantoaxial instability in 20-86% patients with rheumatoid arthritis (RA) Atlantoaxial subluxation in 5% of cervical RA Cranial settling occurs in 5-8% of RA patients Lower cervical spine: Facet and uncovertebral…

Spondylolysis

KEY FACTS Terminology Defects in pars interarticularis thought to result from repetitive stress injury Pars is junction of pedicle, lamina, and facet Imaging Most common at L5: 80-90% Discontinuity in neck of “Scotty dog” on oblique plain films Elongation of…

Periodontoid Pseudotumor

KEY FACTS Terminology Calcium pyrophosphate dihydrate deposition disease (CPPD); articular chondrocalcinosis Crowned dens syndrome: Fever with cervicooccipital junction pain, stiffness with associated calcification of transverse ligament and nonenhancing retroodontoid soft tissue; associated with CPPD or hydroxyapatite deposition Pseudogout: Arthritis caused…

OPLL

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DISH

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Cervical Spondylosis

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Scheuermann Disease

KEY FACTS Terminology Juvenile kyphosis, Scheuermann kyphosis Kyphosis secondary to multiple Schmorl nodes → vertebral body wedging You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member.…