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The cervical split: a pseudofracture

R P Goldberg, H S Vine, B A Sacks

    Skeletal Radiology
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    A horizontal lucent line on cervical spine X-rays can mimic a fracture. This finding is actually a pseudofracture caused by bone spurs at the uncinate process articulation, often with disc space narrowing.

    Area of Science:

    • Radiology
    • Orthopedics
    • Medical Imaging

    Background:

    • Lateral cervical spine radiographs are crucial for diagnosing vertebral fractures.
    • Differentiating true fractures from imaging artifacts is essential for accurate patient management.

    Observation:

    • A specific horizontal lucent line is noted overlying cervical vertebral bodies on lateral radiographs.
    • This lucent line simulates a fracture but originates from a distinct anatomical feature.

    Findings:

    • The lucent line represents a pseudofracture, caused by the space between proliferative osteophytes at the uncinate process/vertebral articulation.
    • All eleven cases reviewed demonstrated associated disc space narrowing.
    • The exact origin and radiographic appearance of this pseudofracture are detailed.

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    Implications:

    • Accurate identification of this pseudofracture prevents misdiagnosis of cervical spine injury.
    • Understanding this phenomenon aids radiologists and clinicians in interpreting cervical spine imaging.
    • Knowledge of this artifact can guide the use of additional radiographic projections for clarity.