Also, the procedure is not carried out for children under 15 years of age. Radiation negatively affects the fetus, even a small dose of it can lead to harmful consequences. ContraindicationsĬonducting an cervical spine x-ray with or without functional tests is impossible if we are talking about a pregnant woman. With the conclusion that you will receive, you can go to your doctor. As a rule, after the procedure is over, the patient is asked to wait outside the office, and the doctor is engaged in drawing up a conclusion. Interpretationĭecoding of the procedure of cervical spine x-ray should be performed by a radiologist. During the examination, the patient stands or sits at an angle of 30-45 degrees with his face or back (depending on which X-ray needs to be done – anterior oblique or posterior oblique) relative to the direction of the X-rays. In some cases (for the study of intervertebral joints and intervertebral openings), orthopedics and traumatology prescribe radiographs in additional oblique projections. If the study is performed in a sitting position, the examinee is asked to grab the chair seat with his hands and actively pull his shoulders down. If the X-ray is done in a standing position, the patient is given small loads in his hands. So that the shadows of the shoulder girdle bones do not overlap the images of the lower cervical vertebrae (especially important for patients with a short neck), the patient’s shoulders are pulled down. A side shot is performed in the patient’s sitting or standing position. During cervical spine x-ray in a direct projection, the patient lies on his back. The upper thoracic vertebrae are not visible in the lateral image, since they are overlaid by the shadows of the shoulder girdle bones. At the same time, the III-VII and I-III thoracic vertebrae are visible in the direct projection image, and the I–VII cervical vertebrae are visible on the lateral radiograph. The standard examination is performed in two projections (straight and lateral). osteochondrosis – reduction of the gap between the vertebrae, the appearance of bone growths.spondylolisthesis – displacement of the vertebra relative to neighboring.tumors, but only bone neoplasms are visible, and destructive foci may indicate metastases.developmental pathologies – underdevelopment of the arches and processes, a change in the shape of the vertebrae, the presence of additional vertebrae and cervical ribs will be visible.acute torticollis is a congenital or acquired pathology, X-ray allows you to identify its type and severity.traumatic injuries (fractures of the vertebral body or several, fractures of processes, displacement of vertebrae and fragments, compression fracture).The density should be appropriate with soft tissues and bony structures well visualized. Based on the results of the diagnosis, it will be possible to draw up a conclusion about the presence of: Odontoid Process AP Cervicothoracic Region Lateral Twinning Method 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. What showsĪfter receiving the image, the doctor will be able to assess the condition of the cervical vertebrae and the discs between them. pain in the hands, the cause of which has not been identified (the problem may be in the development of osteochondrosis of the neck).Ĭervical spine x-ray is prescribed to obtain clear images that will reveal the cause of the patient’s complaints, and in the future – to prescribe treatment.dizziness, headaches that increase when the head tilts or turns.signs indicating that the cervical spine was affected due to infectious diseases, for example tuberculosis, etc.the presence of deformities, curvature, limited mobility of the neck.suspected traumatic injury to the neck.This method of research will allow to determine the presence of tumor processes, to identify spinal injuries, developmental anomalies and much more. This view should not be used in a trauma setting (to avoid manipulating a potentially unstable spine) the modified Fuchs view may be used instead instead of moving the patient's chin, the beam is angled 35-40° upward and the odontoid is targeted just under the chin (the chin is in a neutral position).Before the procedure, it is important to find out what the cervical spine x-ray shows. More likely to avoid structures overlapping the odontoid than with the open mouth odontoid view. The entire odontoid process should be visibly to avoid obscuring anatomy. the beam is aimed just underneath the chin.The standard Fuchs view (Figure 1 and 3) should not be used in a trauma setting and the modified Fuchs view (Figure 2) may be used instead. This view focuses primarily on the odontoid process, and is useful in visualizing odontoid and Jefferson fractures.
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