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This test is the only real way to determine how gravity affects the spine (MRIs and CT scans are performed lying down. One can look at the health of the discs, uncovertebral joints, facets, nerve root foramen, alignment, spinal canal diameter, and even the occiput-C2 joint complex. What do spinal x-rays look for Spinal x-rays evaluate the cause. Cervical X-rays can deliver so much information in so few films. Cervical or neck Thoracic or mid-back Lumbar or lower back Your spinal x-ray order will specify which area of the back your doctor orders for imaging. It also provides a pathway for the vertebral arteries and veins to carry blood to and from the brain via the transverse foramina.įor a basic description of the anatomy of a generic vertebra, see vertebrae. A spinal x-ray will be categorized by the area of the spine that is being evaluated. Its main function is to support the skull and maintain the relative positions of the brain and spinal cord. non-angled AP radiograph of C1 and C2.The cervical spine (often shortened to C-spine) is the upper part of the spine extending from the skull base to the thorax at the level of the first vertebra with a rib attached to it.specialized projections of the cervical spine often requested to assess for spinal stability.Common injuries to the upper cervical spine include: Dens Fracture (i.e., C2 Odontoid Fracture) Jeffersons Fracture (i.e., C1 Burst Fracture) Transverse Ligament Injury. modified lateral projection of the cervical spine to visualize the C7/T1 junction The open mouth odontoid radiograph (x-ray) is used to assess for the presence of an upper cervical spine injury.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 Posterior arch of C1 (inferior border) Atlanto-axial joint (zygaphyseal joint) Lateral mass of C1.The lateral radiograph also provides information about the Sagittal plane. This chapter will provide a brief overview of the steps involved with assessing the osseous integrity of the cervical spine. also known as a 'peg' projection it demonstrates the C1 (atlas) and C2 (axis) Cervical Spine X - Ray Views CERVICAL LATERAL ( CROSS - TABLE LATERAL ) RADIOGRAPHS These are the easiest and most informative of all views. The lateral cervical X-ray provides the doctor with potential pathological and biomechanical information that will aid in the care of the patient.
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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. 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. 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.