Cervical Flashcards
Cervical Spine
X-Ray Series
Normal Series
- AP
- APOM
- Lateral
Optional Views
- Obliques - RAO/LAO - IVF encroachment
- Flexion/Extension - stablity
- Swimmers - Lateral CT junction
AP Cervical
- Cassette - 18x24 or 24x30 vertica; in bucky
- Pt Positioning - in gown, neutral stance with slight head extension
- Immobilisation - comfortable neutral stance, breathing is suspended expiration
- Safety - Gonad shielding
- Marker - Lateral to anatomy
- SID - 100cm
- CR - C4 accounting for tube tilt
- Tube Tilt - 10-15 caphalad
- Collimation - M-L soft tissue and mastoid process. S-I - body of mandible and just above sternal notch
- kV - children 60 and adults 70
APOM Cervical
- Cassette - 18x24 vertical in bucky
- Pt Positioning - back against byucky and open mouth fully, extend until upper incisors are superimposed over the base of occiput and immobilise. open mouth and hold
- Immobilisation - neutral and comfortable, no breathing
- Safety - gonid shielding
- Marker - lateral
- SID - 100
- CR - uvula
- Tube Tilt - 0
- Collimation - M-L all soft tissue and mastoid process, S-I below the level of the eyes and mental notch
- kV - children 60 and adults 70
Lateral Cervical
- Cassette - 18x24 or 24x30 vertical in bucky
- Pt Positioning - shoulder against bucky, relax shoulders and sandbags can be used to depress the shoudlers
- Immobilisation - wide stance, suspended expiration
- Safety - gonad shielding
- Marker - anterior
- SID - 180
- CR - C4
- Tube Tilt - 0
- Collimation - A-P - 2.5cm in front of EAM and all soft tissue, 2.5cm above EAM to T1
- kV - children 60 and adults 70
Oblique Cervicals
- Cassette - 18x24 or 24x30 vertical in the bucky
- Pt Positioning - PA obliques - face bucky and rotate 45 towards one side, rotate further to avoid superimposed mandible, elevate chin. AP -face xray tube and rotate 45 towards one side, rotate further to avoid superimposed mandible, elevate chin
- Immobilisation - comfortable stance with suspended expiration
- Safety - gonad shielding
- Marker - lateral to anatomy
- SID - 100
- CR - C4
- Tube Tilt - Pa- 10-15 caudad and AP - 10-15 cephalad
- Collimation - M-L to include all soft tissues and mastoid process. S-I - below the levels of the eyes and include the T1 spinous process
- kV - children 60 and adults 70
Flexion Cervical
Cassette - 24x30cm vertical
Pt Positioning - pt stands with left shoulder against bucky and asked to tuck chin and flex head and neck as far down as comfortable. relax shoulders
Immobilisation - neutral stand, suspended expiration
Safety - gonad shielding or quarter moon eye filter
Marker - anterior to anatomy
SID - 180
CR - c4
Tube Tilt - 0
Collimation - 2.5 in front of EAM behind the eyes and all soft tissue. S-I 2.5cm above the EAM to T1
kV - children 60 and adults 70
Extension Cervical
- Cassette - 24x30cm vertical in bucky
- Pt Positioning - left shoulder against bucky, extend head and neck back as far as possible. relax shoulders
- Immobilisation - comfortable and neutral stance, suspended expiration
- Safety - gonad and moon eye filter
- Marker - anterior to anatomy
- SID - 180cm
- CR - C4
- Tube Tilt - 0
- Collimation - A-P 2.5 in front fo EAM and all soft tissues and S-I 2.5 above EAm to T1
- kV - children 60 and adults 70
Swimmers Lateral Cervicothoracic Junction
Cassette - 18x24 vertical
Pt Positioning - shoulder against bucky and rotated anterior 5 degress. flex arm closest top bucky approx 135 and rest on head
Immobilisation - comfortable neutral and suspended expiration
Safety - gonad and moon eye
Marker - anterior
SID - 100
CR - above tip of shoulder
Tube Tilt - 0
Collimation - A-P - all soft tissues and S-I C6 to T2
kV - children 60 and adults 70
