C-spine
Normal Lateral C-spine
Left Image: Look at ABCS (adequacy and alignment, bones, cartilage, and soft tissue).
C-spine Alignment
Right Image: Look at anterior, posterior, and spinolaminar alignment.
Clay Shovelers Fracture
Image A: Clay shoveler’s fracture of C7. A clay shoveler’s fracture is an avulsion fracture of the spinous process of C7 or T1 which results from a sudden load on a flexed spine.
Image B: These are AP (left) and lateral (right) views of a patient with a fracture and dislocation of L3 as well as traumatic spondylolysis of L5.
Burst Fracture
Image A: Lateral C-spine plain film of the neck displaying an avulsion of the anterior inferior aspect of the C5 vertebral body with loss of normal lordotic curvature.
Image B: Axial CT view showing multiple fractures involving the lamina bilaterally, the right pedicle, and vertebral body.
Image C: Axial CT view with evidence of multiple fractures involving the lamina bilaterally, and vertebral body with anterior displacement.
[Courtesy of Dr. J. Spears]
Syringomyelia
Image A: T2 weighted MRI
Image B: T1 weighted MRI
Image C: T1 weighted MRI of another case with upper arrow indicating Chiari malformation. [Courtesy of Dr. W. Montanera]
Idiopathic Syrinx
T2-weighted sagittal MRI image showing a hyperintense signal within the spinal cord. [Courtesy of Dr. J. Spears]
Extradural Spinal Tumour
T1-weighted sagittal MRI showing an extradural mass extending from the posterior aspect of the thoracic vertebra into the spinal cord. [Courtesy of Dr. J. Spears]
Ependymoma
Image A: T2-weighted axial MRI image showing an intradural intramedullary spinal cord lesion occupying most of the spinal canal with displacement of the cord.
Image B: T2-weighted sagittal MRI displaying an intradural intramedullary lesion.
[Courtesy of Dr. Tator]
Disc Herniation No.3
Image A: T1 and
Image B: T2 weighted MRI of degenerative cervical disc herniation
Image C: Intermediate and
Image D: T2 weighted MRI demonstrating large disc herniation with spinal cord compression.
[Courtesy of Dr. W. Montanera]
Disc Herniation No.2
T2-weighted axial MRI image (right) showing a right-sided far lateral disc herniation compressing the nerve root.
T2-weighted sagittal MRI image (left) showing the right interpeduncular spaces and loss of CSF surrounding the L4 nerve root.
[Courtesy of Dr. J. Spears]
Disc Herniation No.1
T2-weighted axial MRI showing a central disc herniation compressing the cord (note the minimal amount of CSF and change in cord morphology). [Courtesy of Dr. J. Spears]
