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Emergency Radiology

, Volume 7, Issue 6, pp 361–368 | Cite as

CT scan patterns of articular mass injuries of the lower cervical spine

  • P. Eude
  • F. Deperetti
  • G. Eude
  • A. Ghabris
  • I. Hovorka
  • C. Argenson
  • C. Aboulker
PICTORIAL ESSAY
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Abstract

Traumatic lesions of the cervical articular mass are infrequent, are potentially unstable and often require internal fixation. Standard X-rays and CT images can be difficult to analyze in an emergency situation. Standard X-rays must always be performed first, but CT, particularly helical CT, is the definitive imaging modality. Two-dimensional reformations are performed in all cases, together with 3-D reformations when indicated. We here present a simple and logical analysis based on the normal pattern of the interfacetal joint, which is always made of two pieces of bone, and only two, in a precise order. Post-traumatic deviations from this normal pattern reflect an injury, and there exists an accurate correlation between the CT pattern and the pathologic features.

Key words Cervical spine – Trauma – CT 

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Copyright information

© American Society of Emergency Radiology 2000

Authors and Affiliations

  • P. Eude
    • 1
  • F. Deperetti
    • 2
  • G. Eude
    • 1
  • A. Ghabris
    • 2
  • I. Hovorka
    • 2
  • C. Argenson
    • 2
  • C. Aboulker
    • 1
  1. 1.Department of Radiology, Service de Radiologie, Hôpital Saint-Roch, 06006 Nice Cedex 1, France e-mail: eude.p@chu-nice.fr; Tel.: + 33-4 92 03 35 84; Fax: + 33-4 92 03 35 30FR
  2. 2.Department of Traumatic and Orthopedic Surgery, Hôpital Saint-Roch, Nice, FranceFR

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