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Samenvatting Medische beeldvorming: CWZ $3.23   Add to cart

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Samenvatting Medische beeldvorming: CWZ

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Korte samenvatting van medische beeldvorming cervicale wervelzuil.

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  • December 22, 2020
  • 5
  • 2020/2021
  • Summary
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Medische beeldvorming van de cervicale wervelzuil
1. Radio-anatomie

2. Technieken
a. Radiografie/RX
- Initieel onderzoek bij:
o Cervicale klachten
o Cervico-brachialgie (spinale zenuwen)

Spinale zenuw
komt onder de
wervel uit (7 C
wervels en 8 C
zenuwen)




C6: duim
C7: wijs en middelvinger
C8: ringvinger en pink



o Na trauma: whiplash

- Detectie
o Arthrose (3types): artritis
o Fracturen, alignatiestoornissen en instabiliteit
o Andere afwijkingen

- Postoperatief: spondylodese
o Intercorporele kooi (cage)
o Anterieure plaat en schroef osteosynthese

- Soorten opnames
o VA, profiel, links en rechts schuin (3/4)
o Cranio-cervicale overgang: transbuccaal en profiel
o Cervico-thoracale overgang C7-T1: profiel en swimmers view
o Dynamische opnamen: flexie, extensie en LF
o Transbuccale opname: met de mond open
 Dens axis
 Lateraal massief C1
 Processus transversus C1
 Articulatio atlanto-axialis
 Articulatio atlanto-occipitalis

- Interpretatie: ABC-s

, b. CT
- Indicaties
o Discus is GEEN indicatie (=MR)
o Indien onvoldoende info op RX
o Trauma
 C0-C1/2, C7, T1
 Fracturen en luxaties
 Losse botfragmenten
 Facetgewrichten (fracturen en (sub)luxaties)
o Arthrose – osteofyten
 Posterieur (+degeneratief discuslijden)
 Uncoarthrose
 Facetarthrose
o Postoperatief
 Osteosynthesemateriaal
 Osseuze overbrugging in kooien van intercorporele fusie
c. MRI
T1: zwart = vocht
T2: wit = vocht
- Voordelen
o Alle cervicale segmenten
o Ruggenmerg
o Discus
o Zenuwwortels
- Nadeel: BOT = ZWART
o CT beter voor: fracturen, fragmenten, osteofyten, uncartrose
- Indicaties
o Discushernia: discusbulging

o Spondylodiscitis
o Ruggenmerg en zenuwwortelcompressie
o Ruggenmergletsels
o Zenuwwortelavulsie
o Plexusletsels
o Tumoren – metastasen

3. Discushernia
a. Mediaan
b. Paramediaan
c. Foraminaal

 Druk op: duraalzak, uittredende zenuwwortels, RM
 Spinaalkanaalstenose: welke wortel + L of R

4. Arthrose
- Vernauwing
- Osteofyt
- Randsclerose
- Geode

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