Overview
The AP cervical spine radiograph evaluates vertebral body alignment and gross pathology. The patient is positioned upright or supine with the detector centered to the cervical region. This view complements lateral and odontoid projections for comprehensive cervical assessment.
Technique
Center the detector to include C3 to T1 and use appropriate exposure to penetrate the shoulders and neck. Ensure the patient is not rotated and immobilize the head to reduce motion. Use swimmer technique or oblique views if lower cervical vertebrae are obscured.
Clinical Indications
AP cervical spine is indicated for trauma neck pain and suspected vertebral body pathology. It helps detect gross malalignment and destructive lesions. CT and MRI provide detailed evaluation for fractures and soft tissue injury.
Image Assessment
Assess vertebral body height alignment and look for lytic or sclerotic lesions. Evaluate for prevertebral soft tissue swelling and foreign bodies. Correlate with lateral and odontoid views for comprehensive interpretation.