![]() ![]() superiorly to include C2 and inferiorly to include T2.Figure 4-2 examines close-ups from these images. Compared with a cervical spine x-ray, the images are intentionally underexposed to allow soft tissues to be examined. laterally to include the entire cervical spine A soft-tissue neck series consists of an anteriorposterior (AP) (A) and a lateral (B) x-ray of the neck.the central ray is midline centered at the level of C4 to enter immediately below the hyoid bone.specialized projections of the cervical spine often requested to assess for spinal stability. inform the patient that the image will be taken on suspended expiration More likely to avoid structures overlapping the odontoid than with the open mouth odontoid view. modified lateral projection of the cervical spine to visualize the C7/T1 junction flexion-extension lateral.The management of C1 fractures is based on the integrity of the transverse ligament that can be assessed indirectly with several radiological measures. A 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. Nevertheless, this type of fractures might often be overlooked on the x-ray. Cervical spine radiographs are indicated for a variety of settings including 1-3: trauma. the detector is placed portrait, running parallel to the long axis of the cervical spine on the patients left the side Cervical spine x-rays remain the first-line diagnostic tool to identify isolated atlas fractures.Look for alignment of four parallel vertical columns that follow a slightly lordotic curve without any step offs. Cervical Spine Radiographic series contains 3 views. the patient is supine or erect, depending on trauma or follow up Make sure that the C7-T1 junction is adequately visualized.chin should be raised to align the lower margin of the upper incisors to the mastoid tips/base of the skull (unless trauma when the patient is placed in a cervical collar).patient shoulders should be at equal distances from the image receptor to avoid rotation.patient positioned erect in AP position (unless trauma when the patient will be supine).It also helps to demonstrate any adjacent soft tissue structure, osteoarthritis, and spondylosis. This projection helps to visualize pathology involving the entire cervical spine orthogonal to the AP view and is often performed in the trauma setting. This projection helps to visualize pathology relating to C3-C7 in the anatomical position, demonstrating any compression fractures, clay-shoveler fractures, and herniated nucleus pulposus (HNP). LAT:Ĭervical spine lateral view is a lateral projection of the cervical spine.Īs technology advances, computed tomography (CT) has replaced this projection, yet there remain many institutions (especially in rural areas) where CT is not readily available. In patients 8-15 years old, sports and motor vehicle crashes account for the most common mechanisms with injuries in the sub axial C3-C7) region.The anteroposterior (AP) cervical spine projection is part of the cervical spine series. Labeled Cervical Spine XRay Anatomy - Lateral View Anatomy Radiology Cervical CSpine XRay Lateral Labeled.In patients less than 7 years old, most common mechanism for C-Spine injury was from motor vehicle crashes with injuries in the axial (occiput-C2) region.Posterior Spinous Line-spinous process, nuchal ligament, interpsinous and supraspinous ligaments, and ligamentum flavum.Cervical spine X-rays are done with the person lying down. Spinolaminar Line- anterior edge of the spinous process An X-ray technician will take pictures of the spine: from the front (AP or anterior-posterior view) from the side (lateral view) from the front through an open mouth (odontoid view) Occasionally, other pictures (like flexion and extension views) also might be done. ![]() Posterior Vertebral Line: posterior to the vertebral body alternating with intervertebral disks surrouded by anulus fibrosus and posterior longitudinal ligament.Anterior Vertebral Line: anterior to the vertebral body alternating with intervertebral disks surrouded by anulus fibrosus and anterior longitudinal ligament.Look for alignment of four parallel vertical columns that follow a slightly lordotic curve without any step offs.Cervical Spine Radiographic series contains 3 views.Make sure that the C7-T1 junction is adequately visualized 72010 x-ray spine entire 72020 x-ray spine, 1 view 72040 xray spine cervical 2-3 views 72050 x-ray, spine cervical 4+ views 72052 x-ray spine cervical complete, 72069 x-ray spine standing for thoracolumbar 72070 x-ray spine thoracic 2 views 72072 x-ray spine thoracic 3 views 72074 x-ray, spine thoracic 4+ views 72080 x-ray spine thoracolumbar 2.Disruption of one column is generally stable. ![]()
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