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Cervical Spine

DSPINC2-3V

ROUTINE: AP, Lateral & Odontoid.
Pediatric routine: NO Odontoid view on patients under 2yrs.

DISTANCE:

  • 40” for AP and Odontoid
  • 72” for Upright Lateral

BUCKY: YES

FOCAL SPOT: Small

IMAGING PLATE:

  • 10x12 CR cassette for AP and Lateral
  • 8x10 CR cassette for Odontoid

CENTRAL RAY:

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.

ADDITIONAL COMMENTS:

  1. All of C-7 must be visualized or a Swimmers view must be taken.
  2. Do NOT remove collars unless films have been checked by physician.
  3. 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.
  4. For spines ordered portably-only give two good attempts then plan to take patients to CT.

SEE ALSO/OTHER VIEWS:

  1. Flexion/Extension views-see page 32.
  2. Oblique views-see page 32. 
  3. 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.
  4. For Atlanto-axial Instability: Lateral, Open Mouth, Flexion, and Extension.

Updated 3/17/2011

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