Consult your physician if you are pregnant or there is a possibility of pregnancy X-rays are usually avoided during this period.No jewelry, glasses, and metallic objects should be worn, as they make the X-rays harder to read.However, there are some things that must be kept in mind before going in for the imaging: X-rays are standard procedures and do not require the patient to prepare beforehand. How do you need to prepare for the X-ray? While the process is relatively short, it may take a longer time for the X-ray to come out if the patient has been injected with a dye to make the imaging come out more precise and detailed. In general, the patient is required to hold their breath and remain still while the image is being taken in order to ensure it's not blurry otherwise, the procedure may have to be repeated. In the case of trauma, the patient is supine rather than erect in both positions. In the lateral position, the view is taken from the side. In the AP position, the patient is required to stand up, and the view is taken from the front. This is an AP Lateral X-ray, which means there are two views. The various imaging tests work together to reach a conclusive diagnosis.Īfter you have prepared appropriately, the X-ray technician at the lab helps the patient settle in and directs them according to the requirements of the X-ray. The doctors may also order other tests, like a bone scan or an ultrasound, to help the diagnosis. They may also suggest lifestyle changes and set you on the path to recovery, relieving you from constant muscle pain. The imaging helps the doctors in drawing up appropriate treatment plans. They help the doctor in identifying abnormalities along the cervical spine in terms of form. X-rays are quick and painless procedures. The X-ray may also be carried out after surgery to check if everything has healed properly. It can also help in detecting infections, tumours or other abnormalities. The X-ray detects fractures in the cervical vertebra and also identifies dislocation in the joints between the vertebrae. Chronic cases tend to have other symptoms as well, such as upper limb weakness, tingling or numbness. Neck pain may occur after some kind of trauma, like an accident, or it may be chronic. The X-ray will help the doctor identify the reason behind the pain in the neck. The doctor might examine the neck, observing its positioning, whether it tilts too much one way or not, or if the patient experiences difficulty in moving it back or forth. X-ray imaging is used with any identifiable clinical symptoms to diagnose the disease and chart treatment plans for the future.įurthermore, a physical exam may be taken. He or she also requires information about when the issue started, such as pain in the back, for how long it was prevalent and any other incidents that may have occurred which led to the problem. It is carried out to determine why a patient may have pain in their neck.īefore sending the patient for the X-ray, the doctor needs details of the patient's medical history. Assessment requires a systematic approach.This imaging test is o rdered by the doctor to identify any issues with the cervical spine. The lateral view is often the most informative image. If the lateral view does not show the vertebrae down to T1 then a repeat view with the arms lowered or a ' Swimmer's view' may be required. In the context of trauma these images are all difficult to acquire because the patient may be in pain, confused, unconscious, or unable to cooperate due to the immobilisation devices. The 3 standard views are - Lateral view - Anterior-Posterior (AP) view - and the Odontoid Peg view (or Open Mouth view). Imaging should not delay resuscitation.įurther imaging with CT or MRI (not discussed) is often appropriate in the context of a high risk injury, neurological deficit, limited clinical examination, or where there are unclear X-ray findings. This is because normal C-spine X-rays cannot exclude significant injury, and because a missed C-spine fracture can lead to death, or life long neurological deficit.Ĭlinico-radiological assessment of spinal injuries should be managed by experienced clinicians in accordance with local and national clinical guidelines.
Bones - Cortical outline/Vertebral body heightĬlinical considerations are particularly important in the context of Cervical spine (C-spine) injury.Alignment - Anterior/Posterior/Spinolaminar.Look at all views available in a systematic manner.Clinical considerations are of particular importance when assessing appearances of C-spine X-rays.Normal C-spine X-rays do not exclude significant injury.