Cervical x-ray

Indications

• Kyphosis – abnormal convex curvature  of the thoracic spine.

• Scoliosis – abnormal lateral curvature of the spine.

• Spondylitis

• Ankylosing spondylitis

•Herniated nucleus pulposus (HNP)

Type curvature

• cervical curve, concave forward (lordotic)
• thoracic curve, convex forward
• lumbar curve concave forward
• Sacral curve , convex 

Anatomy of AP cervical

Anatomy of lateral cervical

Cervical AP positioning

•Position : oculusal plane to mastoid tip is perpendicular to IR.

•MSP is perpendicular to IR

•CR : 15º to 20º cephalic to C4 (up margin of thyroid cartilage).

•FFD : 100cm

Evaluation Criteria Cervical AP

•Spinous process aligned with the midline of the cervical bodies. 

•Mandibular angles and mastoid tips are at equal distances from CV. 

•Pedicles are symmetrical lateral to the cervical bodies. 

•Dist. from the vert column to the medial ends of the clavicles are equal. 

•Intervertebral disc space open

X-Ray Of AP Cervical

Video of Cervical AP Radiography Positioning

Cervical Lateral positioning

•Position : Mid coronal plane to centre of  IR.

• Extend chin to prevent superimposition of mandible.

•Depress shoulders.

•FFD : 180 cm

•CR : mid coronal  C4.

Evaluation Criteria Cervical Lateral

•Rt and Lt articular pillars and zygapophyseal joints of each cervical vertebra are superimposed. 

•Spinous process demonstrated in profile.

X-Ray Of Lateral Cervical

Video of Cervical Lateral Radiography Positioning

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