Difference between revisions of "X-ray of spondylosis of the cervical spine"

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[[User:Mikael Häggström|Mikael Häggström]]
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The following radiographic system is recommended in terms of interobserver reliability:<ref name="KettlerWilke2005">{{cite journal|last1=Kettler|first1=Annette|last2=Wilke|first2=Hans-Joachim|title=Review of existing grading systems for cervical or lumbar disc and facet joint degeneration|journal=European Spine Journal|volume=15|issue=6|year=2005|pages=705–718|issn=0940-6719|doi=10.1007/s00586-005-0954-y|pmc=3489462}}</ref>
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==Planning==
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For suspected osteoarthritis of the cervical spine, recommended projections are:
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*Posteroanterior
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*Lateral
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*45° left and right oblique
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==Interpretation==
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[[File:X-ray of cervical spondylosis.jpg|thumb|200px|Grade III spondylosis with moderate disk space narrowing.]]
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On projectional radiography ("X-ray") of the cervical spine, the following radiographic system is recommended in terms of interobserver reliability:<ref name="KettlerWilke2005">{{cite journal|last1=Kettler|first1=Annette|last2=Wilke|first2=Hans-Joachim|title=Review of existing grading systems for cervical or lumbar disc and facet joint degeneration|journal=European Spine Journal|volume=15|issue=6|year=2005|pages=705–718|issn=0940-6719|doi=10.1007/s00586-005-0954-y|pmc=3489462}}</ref>
  
 
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==References==
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==Report==
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It is acceptable to simplify the severity of spondylosisto mild (Kellgren grades I to II), moderate (Kellgren grade III) and severe (Kellgren grade IV).
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{{Reporting}}
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[[Category:Osteoarthritis]]
 
[[Category:Osteoarthritis]]
 
[[Category:Cervical spine]]
 
[[Category:Cervical spine]]

Latest revision as of 16:51, 14 December 2018

Author: Mikael Häggström [notes 1]

Contents

Planning

For suspected osteoarthritis of the cervical spine, recommended projections are:

  • Posteroanterior
  • Lateral
  • 45° left and right oblique

Interpretation

 
Grade III spondylosis with moderate disk space narrowing.

On projectional radiography ("X-ray") of the cervical spine, the following radiographic system is recommended in terms of interobserver reliability:[1]

Kellgren grading of cervical disc degeneration[2]
I
  • Minimal anterior osteophytosis
II
  • Definite anterior osteophytosis
  • Possible disc space narrowing
  • Some endplate sclerosis
III
  • Moderate disc space narrowing
  • Definite endplate sclerosis
  • Osteophytosis
IV
  • Severe disc space narrowing
  • Endplate sclerosis
  • Multiple large osteophytes.

Report

It is acceptable to simplify the severity of spondylosisto mild (Kellgren grades I to II), moderate (Kellgren grade III) and severe (Kellgren grade IV).

See also: General notes on reporting

Notes

  1. ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. ↑ Kettler, Annette; Wilke, Hans-Joachim (2005). "Review of existing grading systems for cervical or lumbar disc and facet joint degeneration ". European Spine Journal 15 (6): 705–718. doi:10.1007/s00586-005-0954-y. ISSN 0940-6719. 
  2. ↑ Ofiram, Elisha; Garvey, Timothy A.; Schwender, James D.; Denis, Francis; Perra, Joseph H.; Transfeldt, Ensor E.; Winter, Robert B.; Wroblewski, Jill M. (2009). "Cervical degenerative index: a new quantitative radiographic scoring system for cervical spondylosis with interobserver and intraobserver reliability testing ". Journal of Orthopaedics and Traumatology 10 (1): 21–26. doi:10.1007/s10195-008-0041-3. ISSN 1590-9921. 
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