The lateral view is often the most informative image. 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. 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). laterally to include the mandible superior-inferior to include the upper incisors and lower incisors orientation. 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. the central ray is centered at the center of the open mouth angle accordingly see 'patient positioning' collimation. 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. Cervical by Antony Massicotte Hot Topics Rapids 29/1/21 by Pauline Gammack Anatomie normale by Minh Man Tony Ha CS-DS-LSS X-Ray by Ahmed Mohamed Mohamed Eid Ali Cervical spine TI by Jin XU rad club april 27 by Anser Abbas Normal Spinal Imaging by Mark Spriggs Rachis by Laurence Normal Imaging Examples by Ashlee Kates-Ascioti normality.Alignment - Anterior/Posterior/Spinolaminar.Look at all views available in a systematic manner.22 At the C1-C2 level, increased width of PVST could indicate atlanto-occipital subluxation. 21 In the setting of trauma, severe potentially incapacitating injuries to the cervical spine can present with PVST thickening as the only radiographic sign. Causes of increased PVST thickness include infection, neoplasm, hemorrhage, and fluid accumulation. Clinical considerations are of particular importance when assessing appearances of C-spine X-rays Nearly perfect neck xray used by chiropractors to show ideal cervical curve, disc spaces and anatomical features. The Normal Thickness of the PVST on MDCT.This 22-year-old gymnast experienced a sudden onset of back pain. Lumbar spine accessory ossicles (arrows). B: Lumbar spine right oblique radiograph. This supernumerary bone or os (arrow) is a normal variant. Normal C-spine X-rays do not exclude significant injury This accessory ossicle is located inferior to the anterior arch of the atlas or C1.

X ray of right lateral cervical spine