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Radiology, Vol 123, 113-116, Copyright © 1977 by Radiological Society of North America

ARTICLES

The widened interspinous distance: a useful sign of anterior cervical dislocation in the supine frontal projection

JB Naidich, TP Naidich, C Garfein, AL Liebeskind and RA Hyman

Anterior dislocation of the cervical spine may be detected reliably in the supine frontal projection by evaluating the cervical spinous processes. A widened interspinous distance (ISD) which measures more than one and one-half times the ISD above and more than one and one- half times the ISD below indicates the presence of an anterior cervical dislocation at the level of abnormal widening. Measurements of the interspinous distances from the C3-C4 interval through the C7-T1 interval in 500 patients with normal cervical spines and in 14 patients with documented anterior cervical dislocations revealed neither false positive nor false negative diagnoses by these criteria.


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