ROUTINE: AP, Lateral & Odontoid.
Pediatric routine: NO Odontoid view on patients under 2yrs.
- 40” for AP and Odontoid
- 72” for Upright Lateral
FOCAL SPOT: Small
- 10x12 CR cassette for AP and Lateral
- 8x10 CR cassette for Odontoid
AP: 10-15° cephalic angle entering at the superior border of the thyroid cartilage.
Lateral: Perpendicular to the film entering the side of the neck at the level of the thyroid cartilage.
Odontoid: Perpendicular to the film entering through the open mouth. NOT DONE on patients under 2yrs.
- All of C-7 must be visualized or a Swimmers view must be taken.
- Do NOT remove collars unless films have been checked by physician.
- Remember to try and remove as much of the foreign bodies (oxygen tubing, monitor leads, earrings, hair clips) as possible to obtain a better film.
- For spines ordered portably-only give two good attempts then plan to take patients to CT.
SEE ALSO/OTHER VIEWS:
- Flexion/Extension views-see page 32.
- Oblique views-see page 32.
- Fuchs for odontoid tip-done AP with chin tipped up-central ray entering at the chin. In the case of trauma angle parallel with the jaw line-central ray entering at chin.
- For Atlanto-axial Instability: Lateral, Open Mouth, Flexion, and Extension.