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.