#Ap cervical spine x ray series
#Ap cervical spine x ray download

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). 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 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.

Abbreviations AP, anterior-posterior projection C-spine, cervical spine C1, Atlas vertebra C2, Axis vertebra CT, computed tomography ED, Emergency Room/Department Peg, odontoid peg T1, first thoracic vertebra.

Alignment - Anterior/Posterior/Spinolaminar The standard radiographs Three-view trauma series.

Look at all views available in a systematic manner.

#Ap cervical spine x ray series

Figure 1 shows a cervical spine series consisting of AP lower cervical.

On T2-weighted sagittal images, the Kang grading system can be used to classify cervical spinal canal stenosis based on the severity of spinal cord compression 8.

#Ap cervical spine x ray download

Clinical considerations are of particular importance when assessing appearances of C-spine X-rays Download scientific diagram First diagnostic images (x-rays) of the cervical spine. A plain x-ray cervical spine series consists of three standard views: lateral (A), AP (B), and odontoid (C). The canal-to-body ratio of Torg and Pavlov can be used to determine the presence of cervical canal stenosis 1-3.The cervical nerves are also abbreviated they are C1 through C8. Normal C-spine X-rays do not exclude significant injury The individual cervical vertebrae are abbreviated C1, C2, C3, C4, C5, C6, and C7.