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Samenvatting radiologie wervelkolom & -zuil

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Ik behaalde voor dit vak 18/20. De samenvatting is gebaseerd op de powerpoint en notities van in de les. 12 pagina's over de manieren om de wervelkolom in beeld te brengen + de anatomische structuren te herkennen.

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  • November 3, 2023
  • 12
  • 2022/2023
  • Summary
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RADIOLOGIE VAN DE WERVELKOLOM (LP3)


1. Radiologische terminologie
De wervelkolom:
-> Wervellichamen beschermen spinaal kanaal waarin ruggenmerg & cauda equina lopen

Cervicaal C1-C7 -> lorotose
Thoracaal T1 - T12 -> kifose
lumbaal L1 – L4/5/6 -> lorotose
Sacraal S1 – S5 -> kifose
=> loopt nt helemaal recht => vr stabilisatie




Cervicaal thoracaal lumbaal

2. CT
Typische vertebrae
C3-L5
 Corpus
 pedikels
 Processus pediculus
 Articulatio zygoaphysialis
 Lamina
 Processus spinosus (PrS)
 Processus transversus (PrT): uitsteeksel nr lateraal, grootte & orientatie verschilt

Cervicale vertebrae
C3-C7
 Corpus
 Processus pediculus
 Articulatio zygoaphysialis
 Lamina
 Processus spinosus
 Processus transversus: 2 gaten in:
Foramina transversaria: => laten toe dat arteria vertebraelis er langs loopt & nr de schedelbasis kan lopen
 Processus uncinatus : uitsteeksels wervel (= 'de unci', als ze vesleten zijn: uncartrose)
=> Geven extra stabiliteit (wervels kunnen minder makkelijk van elkaar verschuiven)

Thoracale vertebrae
T1-T12
 Corpus
 Processus pediculus
 Articulatio zygoaphysialis
 Lamina
 Processus spinosus
 Processus transversus: groter & nr achte gericht
=> rib in de weg

,  Articulatio costovertebralis: tss wervelcorpus & rib gewrichten waarmee ribben aan wervels
 Articulatio costotransversalis: tss PrT en rib gebonden zijn

Atypische vertebrae
C1 = atlas
 Geen corpus, pedikels, laminae of processus
spinosus
 Arcus anterior
 Arcus posterior
 Massa lateralis + artic. zyg.:
 op massa lateralis: facetgewricht naast PrT ipv.
achter pedikle en naast Prt => gn pedikle nodig
 Processus transversus

C2 = axis
 Alle elementen behalve pedikels
 + heeft massae laterales en dens dens= uitstulpsel nr craniaal waarond C1 zit




Craniocervicale junctie
1: dens C2
2: arcus anterior
3: arcus
posterior
(2+3: ring C1)
4: massa
lateralis C1
5: massa
lateralis C2

Articulatio atlanto-occipitalis Articulatio atlantodentalis Articulatio atlanto-axialis

CT lumbale wervelkolom
Technoloog maakt recosntructies van beeldjes + geeft er andere contrasten aan
=> verkrijgen :
 sag(ittaal) bot(venster)
 sag weke delen
 ax(iaal) bot en weke delen
 cor(onaal) bot en weke delen
Botvenster:
Grijswaarden zodanig instellen dat je veel detail ziet in bot (details rond bot)

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