3/31/2024 0 Comments Cervical spine x ray 3 viewsAssessment requires a systematic approach. The lateral view is often the most informative image. Fractures and dislocations are best visualized on the lateral projection ( Figure 6-2 A ). A cervical spine X-ray is a safe and painless test that uses radiation to take a picture of the 7 vertebrae in the neck. If the lateral view does not show the vertebrae down to T1 then a repeat view with the arms lowered or a ' Swimmer's view' may be required. The radiographic examination of the cervical spine should include a minimum of three views: lateral ( Figure 6-2 A ), AP ( Figure 6-2 B ), and AP open mouth of C1/C2 ( Figure 6-2 C ). In the context of trauma these images are all difficult to acquire because the patient may be in pain, confused, unconscious, or unable to cooperate due to the immobilisation devices. The 3 standard views are - Lateral view - Anterior-Posterior (AP) view - and the Odontoid Peg view (or Open Mouth view). Imaging should not delay resuscitation.įurther imaging with CT or MRI (not discussed) is often appropriate in the context of a high risk injury, neurological deficit, limited clinical examination, or where there are unclear X-ray findings. Posterior arch of C1 (inferior border) Atlanto-axial joint (zygaphyseal joint) Lateral mass of C1. This is because normal C-spine X-rays cannot exclude significant injury, and because a missed C-spine fracture can lead to death, or life long neurological deficit.Ĭlinico-radiological assessment of spinal injuries should be managed by experienced clinicians in accordance with local and national clinical guidelines. Bones - Cortical outline/Vertebral body heightĬlinical considerations are particularly important in the context of Cervical spine (C-spine) injury.Alignment - Anterior/Posterior/Spinolaminar.Look at all views available in a systematic manner.Clinical considerations are of particular importance when assessing appearances of C-spine X-rays.Normal C-spine X-rays do not exclude significant injury.
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