Tag Archives: cervical

Cervical Spine AP
4
Feb

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.

Cervical Spine Lateral
4
Feb

Overview

The lateral cervical spine radiograph is the primary screening view for cervical trauma and alignment. The patient is positioned true lateral with the mandible and occiput clear of the cervical spine. This view assesses vertebral alignment prevertebral soft tissues and facet joints.

Technique

Center the detector to include the skull base to the upper thoracic spine and ensure true lateral alignment. Use a horizontal beam for trauma patients who cannot stand. Immobilize the head and instruct breath hold to minimize motion.

Clinical Indications

Lateral cervical spine is indicated for trauma neck pain and suspected instability. It helps detect subluxation fractures and prevertebral hematoma. CT is preferred for high risk trauma or when radiographs are inconclusive.

Image Assessment

Evaluate anterior and posterior vertebral body lines and spinolaminar alignment. Assess disc spaces and prevertebral soft tissue thickness. Report any malalignment or fracture and recommend advanced imaging when needed.