non-angled AP radiograph of C1 and C2. Where plain radiography is indicated, three films are taken of the cervical spine: lateral, anteroposterior (AP) and open mouth (peg) views.specialized projections of the cervical spine often requested to assess for spinal stability.modified lateral projection of the cervical spine to visualize the C7/T1 junction.demonstrated the intervertebral foramina of the side positioned closer to the image receptor.demonstrates the intervertebral foramina of the side positioned further from the image receptor.also known as a 'peg' projection it demonstrates the C1 (atlas) and C2 (axis).anterior-posterior relationship of the vertebral bodies.soft tissue structures around the c spine.anteroposterior projection of the cervical spine demonstrating the vertebral bodies and intervertebral spaces.Note: in the absence of CT 5 views of the C-spine should be performed: AP, lateral, obliques and odontoid 5. Pre-vertebral soft tissue swelling is also described. Typical fracture patterns include Jefferson fracture, hangman fracture, extension teardrop, flexion teardrop, perched facet joints, and clay shovelers fracture. Three views (AP, lateral, focused lateral lumbosacral) will cover most causes of lumbar pain. Some providers prefer longer and narrow films that include more of the lumbar spine, while others may want smaller films. Fractures of C1 - atlas, C2 axis, C-spine vertebral bodies and fracture dislocations are discussed. The region included will depend on the film size and centering used by the radiographer. IndicationsĬervical spine radiographs are indicated for a variety of settings including 1-3:Ī decision to pursue C-spine imaging of any kind should be cross-referenced with the 'Canadian C-Spine Rule' for C-spine imaging due to its high sensitivity and specificity 4. Learn about cervical spine fractures as seen on X-ray. Lateral C-spine X-ray with normal outlines of the vertebra compared with a teardrop fracture of C5 on the right 3 Cartilage (i.e discs) Intervertebral discs should be roughly similar in height throughout the cervical spine, with no obvious loss of height at any point in the disc. The cervical spine series is a set of radiographs taken to investigate the bony structures of the cervical spine, albeit commonly replaced by the CT, the cervical spine series is an essential trauma radiograph for all radiographers to understand.
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