![]() The midsagittal plane of the body is centered and perpendicular to the grid. This position is NOT to be attempted in patients with suspected or known fractures or degenerative disease of the upper cervical spine. Purpose and Structures Shown An additional view to demonstrate the dens and atlas through the foramen magnum. The mandible, cranium, and vertebrae should be symmetric. The dens should be clearly demonstrated in the foramen magnum. The patient is asked to suspend respiration when the exposure is taken. Position of part The gonads are shielded. The neck is extended until the tips of the chin and mastoid process are oriented vertically. A support may be placed under the knees for comfort. The patient’s arms are placed by the side of the body and the shoulders are flat on the table. This position is NOT to be attempted in patients with fracture or degenerative disease of the upper cervical spine. Purpose and Structures Shown An additional view to demonstrate the dens in the foramen magnum. The patient should be asked to stop breathing when the exposure is taken. Position of part Remove necklaces, hair grips, and anything else from the hair. This view is used in patients who cannot sit due to injuries. Purpose and Structures Shown An additional view of the cervical spine for patients with injuries. Video Credit : Jocelyn Caldwell Cervical Spine AP Supine The patient should be turned to the other side for the other oblique view and the process repeated. The patient should be positioned so that he or she is at a 45-degree angle to the cassette holder. Purpose and Structures Shown An additional view of the cervical spine. Video Credit : CentralazRAD Cervical Spine Oblique In uninjured patients, a 1 kg (2 lb) weight should be placed in each hand. The arms should be by the sides and the shoulders should be as low as possible. The patient should be positioned with the shoulder against the cassette holder. The knob at the back of the head should be at the same level as the lower jaw (chin). The patient should be asked to place the chin against the cassette holder. Purpose and Structures Shown A basic view of the cervical spine. The density should be appropriate with soft tissues and bony structures well visualized. Radiologists consider a cervical spine X-ray to be of good quality when the lateral view shows all 7 cervical vertebrae plus the C7-T1 junction. Cervicothoracic Region Lateral Twinning Method.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.This article discusses radiographic positioning of the cervical spine for the Radiologic Technologist (X-Ray Tech). 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. 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. 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.
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