The Radiologist will usually comment on the alignment of the vertebrae and the presence or absence of any ‘wear and tear’ changes, usually related to normal aging and known as degenerative changes or osteoarthritis. Sometimes, a Radiologist may also be requested to interpret the images.Ĭ-Spine X-Rays taken in the non-urgent setting are reported by a Radiologist, and the report is usually sent to the doctor who ordered the test. More likely to avoid structures overlapping the odontoid than with the open mouth odontoid view. 2.5 cm above the jugular notch at the level of C4 collimation. Fractures and dislocations are best visualized on the lateral projection ( Figure 6-2 A ). In cases of trauma, the cervical spine x-ray is usually interpreted immediately by an emergency doctor such as an Emergency Physician, an Orthopaedic Surgeon, or a General Surgeon involved in the care of the patient. the detector is placed portrait, parallel to the long axis of the cervical spine on the patients left side the patient will have the neck in the extended (chin up) or flexion (chin down) position depending on the projection Technical factors. The radiographic examination of the cervical spine should include a minimum of three views: lateral ( Figure 6-2 A ), AP ( Figure 6-2 B ), and AP open mouth of C1/C2 ( Figure 6-2 C ). It is indicated for suspected fractures of the III-VII cervical vertebrae, developmental anomalies, degenerative-dystrophic and tumor processes. ensure rotation of hips and shoulders is reduced as much as possible (some rotation inherent to scoliosis may be inevitable) ensure at least 3-5 cm of iliac crests. ensure the patient aligned centrally to the image receptor. The erect anteroposterior chest view is an alternative to the PA view when the patient is too unwell to tolerate standing or leaving the bed 1. A spinal x-ray can reveal things such as spinal fractures, disk problems, infections, tumors, abnormal curvature of the spine, Scoliosis, arthritis and pretty much anything that may be impacting the spine negatively, including congenital issues that a person may be born with. Cervical spine x-ray is a radiography examination of the lower cervical (with the exception of I-II) and upper thoracic vertebrae. patient erect (or supine depending on the protocol) if the patient is erect, arms by sides and equal weight on both feet.
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