What Is Spondyloepiphyseal Dysplasia?

A plain spine is an X-ray examination of the spine. Used to diagnose lesions on the spine.

Name: Spine plain film

category: X-ray

Normal spinal radiograph

Spinal radiographs did not show unusual shadows.

Clinical significance of plain spine films

Abnormal results: X-ray manifestations of spinal canal tumors are as follows: The orthophoto shows an increase in the distance between the pedicles; The extent of its increase is closely related to the size of the tumor; Bone changes in the vertebral body and attachments. Deformation or destruction of the vertebral body is most likely to occur at its trailing edge. Curved forward depression; attachment changes are most common in the pedicle and lamina, and can also extend to other structures, such as deformation, thinning or even disappearance of the pedicle, absorption and corrosion of the lamina; Change. Shown as enlargement or destruction of the intervertebral foramen, is a common sign of nerve root tumors; abnormal calcification in the spinal canal. Found in a small number of meningiomas and hemangioblastomas, showing plaque-like calcifications; paravertebral soft tissue masses are caused by tumors growing outward through the intervertebral foramen.

Vertebral body or attachment lesions affect the spinal cord, causing spinal cord compression. Common X-ray manifestations are: traumatic fracture or dislocation of the spine, spine fractures are more common as vertebral compression or wedge deformation can also be manifested as vertebral body or attachment rupture. Dislocation is an abnormal arrangement of the vertebrae, which can be shifted forward or backward or left and right; spinal tuberculosis, showing narrow vertebral space, with bone defects of adjacent vertebrae, severe cases can involve several cones, and become kyphosis 3. Spinal soft tissue swelling often occurs near the vertebrae; Congenital malformations of the spine, spina bifida, vertebral segmental insufficiency, and hemivertebral deformities are common; spinal tumors are more common in metastatic tumors, chordomas, and hemangioma. Bone destruction and hyperplasia occur. The destruction of benign tumors has clear boundaries, and the edges often have sclerosis. The bone destruction of malignant tumors has blurred boundaries and irregular shapes, and generally does not involve discs. Spinal degenerative osteoarthropathy and disc disease, vertebral bodies, appendages, and joints can be seen. There is hyperplasia, hyperplasia of articular surface and vertebral body and formation of bone spurs. Disc herniations include degeneration or protrusion. Intervertebral space stenosis is a common sign of disc herniation.

In cervical spondylosis, X-rays often show the disappearance or inverse curve of cervical lordosis, narrowing of the intervertebral space, bone hyperplasia, and spurs sometimes seen in oblique films, making the intervertebral foramen smaller, cervical spinal nerve root, vertebral artery or cervical spinal cord. Compression causes numbness in the upper limbs, pain, insufficient blood supply to the vertebral artery, and compression of the cervical spinal cord. In lumbar spondylosis, the lumbar scoliosis is displayed in the lateral position, and the physiological lordosis of the lumbar vertebra disappears in the side view. The vertebral space of the disease is narrowed. There is osteophyte proliferation at the edge of the adjacent vertebral body. And other symptoms.

People to check: People with abnormal pain in the waist and neck.

Spinal plain film precautions

Inappropriate: pregnant women, adolescents. Note before inspection: X-rays have some radiation, so you need to be mentally prepared. Treatment diagnosis requires X-ray examination, and lead protective equipment should be worn. Protect non-irradiated areas, especially those sensitive to X-rays, such as gonads and thyroid gland, and wear protective equipment. Requirement during the examination: Obey the doctor's instructions for the examination. When the X-ray machine is in working state, the warning light on the door of the radiation room will be on. At this time, the clinician will always wait outside the protective door. Do not wait for the filming in the examination room. In the case where the patient does not need special care, family members should not be accompanied in the examination room to reduce unnecessary radiation.

Spine radiograph

Enter the X-ray examination room and take a photograph to observe the physiological curvature of the spine, vertebral body for abnormal development, bone destruction, fracture, dislocation, deformation or osteogenesis, pedicle shape and pedicle spacing. Whether there is enlargement, vertebral space stenosis, lamina and spinous process rupture or spina bifida, whether the transverse process of the spine is damaged, whether there is soft tissue shadow near the vertebra.

Spinal plain film related diseases

Traumatic vertebral embolism, leopard skin syndrome in children, multiple myeloma, cervical spinal stenosis, cervical subluxation, scoliosis, chordoma, rickets, spinal tuberculosis, 3rd lumbar transverse process