Atlantodental interval (ADI)

Synonyms
ADI, atlantodental interval, anterior atlantodental interval, predental space, predental interval

The (anterior) atlantodental interval is defined as the distance between the anterior margin of the dens of the axis and the nearest point of the anterior arch of the atlas on a lateral X-ray of the cervical spine1.

Imaging

Atlantodental Interval (ADI) on CT
Sagittal CT at the level of the atlas showing the (anterior) atlantodental interval (red marking).

Normal values

Patient population ADI2
Adult men ≤ 3 mm
Adult women ≤ 2,5 mm
Pediatric (≤ 15 years) ≤ 4mm

Clinical relevance

A pathologically widened atlantodental interval may be an indirect indication of rupture of the Ligamentum transversum atlantis.

References



    1. Handbook of Neurosurgery. Greenberg M, ed. 9th Edition. New York: Thieme; 2019 ↩ ↩ ↩ ↩

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