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Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

45 results found
Article

Anderson and Montesano classification of occipital condyle fractures

The Anderson and Montesano classification is a widely used system for describing occipital condyle fractures. It divides injuries into three types based on morphology and mechanism of injury 1-5. Classification type I: impacted type occipital condyle fracture morphology: comminution of the co...
Article

Epidural spinal cord compression scale

The epidural spinal cord compression (ESCC) scale, sometimes known eponymously as the Bilsky scale, is used to assess the degree to which vertebral body metastasis compromises the spinal canal and whether cord compression is present. It may serve as a guide as to when intervention (radiotherapy ...
Article

ASAS classification criteria - active sacroiliitis on MRI

The Assessment in SpondyloArthritis International Society (ASAS) classification criteria, published in 2009 1 with the revised 2016 consensus definition of a positive MRI (i.e. active sacroiliitis) still in use in 2019 6, utilizes imaging features of the sacroiliac joints on x-ray and MRI as one...
Article

Traynelis classification of atlanto-occipital dislocations

The Traynelis classification of atlanto-occipital dislocations describes injuries of the atlanto-occipital joint according to the displacement of the occipital condyles relative to the atlas: type I: anterior displacement type II: longitudinal distraction (superior-inferior displacement) type...
Article

AO Spine classification of upper cervical injuries

The AO Spine classification of upper cervical injuries is a concise and comprehensive system for categorizing the spectrum of traumatic bony and ligamentous injuries involving the occipital condyles, atlas (C1), or axis (C2). Usage The AO Spine upper cervical classification system is relativel...
Article

Three column concept of spinal fractures

The three-column concept of thoracolumbar spinal fractures (of Denis) forms the basis of a number of widely used thoracolumbar spinal fracture classification systems. Usage While the three-column concept was initially developed for classification of thoracolumbar spinal fractures, it can also ...
Article

Scheuermann disease

Scheuermann disease, also known as juvenile kyphosis, juvenile discogenic disease 11, or vertebral epiphysitis, is a common condition which results in kyphosis of the thoracic or thoracolumbar spine. The diagnosis is usually made on plain radiograph. Epidemiology occurs in ~5% (range 0.4-8%) o...
Article

Cervical degenerative spondylosis (grading)

Cervical degenerative disease is extremely common. Cervical spondylosis can be graded using a very old but reliable classification devised by Jonas Kellgren et al 1,2. It is based on findings on a lateral cervical spine radiograph although it can also be applied to MRI evaluation of spine. The ...
Article

Subaxial cervical spine injury classification

The subaxial cervical spine injury classification (SLIC) system and severity score is a system for cervical spine trauma that helps guide treatment and predicts prognosis. Classification Three parameters are assessed, two being radiologic determined and the last being a clinical assessment 1. ...
Article

Tuli classification of occipital condyle fractures

The Tuli classification of occipital condyle fractures is a clinically-oriented system for describing these injuries based on fracture displacement and ligamentous injury. It is newer than the more well-known Anderson and Montesano classification of occipital condyle fractures and allows the inc...
Article

AO Spine classification of thoracolumbar injuries

The AO Spine classification of thoracolumbar injuries is a commonly used thoracolumbar spinal fracture classification system 1,2. The current AO Spine system (2013) supercedes the more complex and less reproducible AO Magerl classification 3. Unlike the other widely used system, the thoracolumb...
Article

Occipital condyle fracture

Occipital condylar fractures are uncommon injuries usually resulting from high-energy blunt trauma. They are considered a specific type of basilar skull fracture, and importantly can be seen along with craniocervical dissociation. Treatment of isolated injury is generally conservative, unless t...
Article

Genant classification of vertebral fractures

The Genant classification of vertebral fractures is based on the vertebral shape, with respect to vertebral height loss involving the anterior, posterior, and/or middle vertebral body as seen on lateral radiographs of the thoracic or lumbar spine 1. Usage The Genant classification has been use...
Article

Borden classification of dural arteriovenous fistulas

The Borden classification of dural arteriovenous fistulas (DAVF) groups these lesions into three types based upon the site of venous drainage and the presence or absence of cortical venous drainage. It was first proposed in 1995 1. At the time of writing (July 2016), it is probably less popular ...
Article

Odontoid fracture

Odontoid process fracture, also known as a peg or dens fracture, occurs where there is a fracture through the odontoid process of C2. Pathology The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5. Classification There are two...
Article

McAfee classification of thoracolumbar spinal fractures

McAfee classification of acute traumatic spinal injuries is one of a number of thoracolumbar spinal fracture classification systems and is based on the three-column concept of the spine (of Denis). It requires CT for an accurate assessment. Usage Unlike the more common formal and widely used c...
Article

Gertzbein and Robbins classification

The Gertzbein and Robbins classification assesses the position of transpedicular screws. Classification Transpedicular screw position is graded from A to E based on the extent by which the screw breaches the cortex of the pedicle 1-3: A: fully intrapedicular position without breach of the ped...
Article

Castellvi classification of lumbosacral transitional vertebrae

The Castellvi classification is used for lumbosacral transitional vertebra (LSTV): type I: enlarged and dysplastic transverse process (at least 19 mm) Ia: unilateral Ib: bilateral type II: pseudoarticulation of the transverse process and sacrum with incomplete lumbarization/sacralization; en...
Article

Allen and Ferguson classification of subaxial cervical spine injuries

Allen and Ferguson classification is used for research purposes to classify subaxial spine injuries and is based purely on the mechanism of injury and position of the neck during injury.  This classification was proposed by Allen and Ferguson in 1982 1 and at the time of writing (February 2024)...
Article

Classification of spinal meningeal cysts

Spinal meningeal cysts can be classified according to a system published by Nabor et al. 2: type I: extradural meningeal cyst without neural tissue type Ia: extradural spinal arachnoid cyst type Ib: sacral meningocele type II: extradural meningeal cyst containing neural tissue, e.g. Tarlov c...

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