4/3/2024 0 Comments Normal ap cervical spine x ray![]() Assessment requires a systematic approach. 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). the patient will have the neck in the extended (chin up) or flexion (chin down) position depending on the projection. the detector is placed portrait, parallel to the long axis of the cervical spine on the patients left side. 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. 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) 1. the patient is erect, left side against the upright detector. ![]() 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 of spinous processes Distance between spinous processes Uniformity and height of vertebrae Odontoid View.Alignment - Anterior/Posterior/Spinolaminar.This page is dedicated to help you to learn the common anatomical landmarks and a process for how to read an AP neck x-ray. Look at all views available in a systematic manner Summary: The AP view of the cervical spine (i.e., 'c-spine') is one of 3 primary views used to evaluate for the presence of a cervical fracture or subluxation after a traumatic injury involving the head and/or neck.Clinical considerations are of particular importance when assessing appearances of C-spine X-rays This article lists examples of normal imaging of the spine and surrounding structures, divided by region and modality.Normal C-spine X-rays do not exclude significant injury.
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