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Determination of Clark station for diagnosis of basilar invagination of the cervical spine

Determination of Clark station for diagnosis of basilar invagination of the cervical spine
The station of the first cervical vertebra is determined by dividing the odontoid process into three equal parts in the sagittal plane. If the anterior ring of the atlas is level with the middle third (station II) or caudal third (station III) of the odontoid process, basilar invagination is diagnosed.
(A) Line diagram.
(B) Radiographic representation.
From: Riew KD, Hilibrand AS, Palumbo MA, et al. Diagnosing basilar invagination in the rheumatoid patient. J Bone Joint Surg Am 2001; 83:194. DOI: 10.2106/00004623-200102000-00006. Copyright © 2001 The Journal of Bone and Joint Surgery. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
Graphic 130276 Version 2.0

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