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The spinous process: the forgotten appendage

K R Kattan, M J Pais

    Skeletal Radiology
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    The spinous process (SP) is crucial for diagnosing spinal trauma and diseases. Radiologic techniques like proper coning and spinolaminal line assessment aid in accurate evaluation of the SP.

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    Area of Science:

    • Radiology
    • Orthopedics
    • Anatomy

    Background:

    • The spinous process (SP) is frequently overlooked in spinal imaging.
    • Understanding SP anatomy and imaging is vital for diagnosing various spinal conditions.

    Purpose of the Study:

    • To highlight the importance of the spinous process in radiologic examinations.
    • To detail diagnostic techniques involving the spinous process and spinolaminal line.

    Main Methods:

    • Review of radiologic techniques for visualizing the spinous process.
    • Discussion of the spinolaminal line's significance in lateral views.
    • Correlation of SP abnormalities with specific pathologies.

    Main Results:

    • Proper coning reduces scatter radiation to the SP in lateral views.

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  • Anteroposterior views require attention to SP alignment and spacing for fracture/dislocation diagnosis.
  • The spinolaminal line is key for assessing vertebral alignment in trauma.
  • SP abnormalities are associated with metastatic/primary carcinoma, trauma, rheumatoid arthritis, Paget's disease, and benign tumors.

    • Conclusions:

    • The spinous process is an important structure in spinal radiology.
    • Specific radiologic views and assessments are crucial for diagnosing SP-related pathologies.
    • Early recognition of SP involvement aids in timely and accurate diagnosis and treatment.