Cervical Spine degenerative changes (** For **Radiology Residents)

Cervical Spine degenerative changes ( For Radiology Residents).

.

ABC Approach .

  • A = Alignment in Lateral and AP views :
    _ Straightening or curve reversal.
    _ Degenerative subluxation / spondylolithesis.
    .

  • B = Bone density :
    age-related osteopenia/osteoporosis or
    increased density as in subchondral sclerosis.
    .

  • C = Cortex :
    Marginal osteophytosis.
    .

  • D = Disc spaces :
    Narrowed disc spaces, mainly C5/6 and C4/5 disc spaces.
    .

  • E = Extra.
    _ Facet joints.
    _ Unco-vertebral joints.
    _ Cervical ribs or elongated transverse process.