use two filters, one filter anterior and one superior this will even out the density.oblique: central ray passes through the body/body part through a plane which is at an angle to the transverse plane/coronal plane. take your time setting the patient up, rushing this projection will only cause you headaches down the road lateral: central ray, perpendicular to the sagittal plane and parallel to the coronal plane, passes from one side of body to the other.collimate incredibly tight, because this is such a high dose projection the scatter will be at an all-time high collimation will alleviate this.This projection is regularly high stakes in resuscitation rooms and is utilized to assess critical anatomy, for those who do not have the privilege to use a superior modality such as CT 1. The technique will vary from radiographer to radiographer however, they will all have their pitfalls. This projection is technically demanding and very hard to replicate consistently. Cervical spine (C-spine) injuries are the most feared of all spinal injuries because of the potential for. This article focuses on the uniqueness of and the most common types of traumatic C2 fractures. 1 The clinical manifestations range from asymptomatic to frank paralysis. The concept of this projection is to clear the superimposing humeral heads of the cervical spine, the offset of the arms attempts to achieve this. MVAs and falls are responsible for the bulk of C2 (axis) fractures. the articular pillars and zygapophyseal joints are superimposed.

the vertebral bodies are superimposed laterally.A decision to pursue C-spine imaging of any kind should be cross-referenced with the Canadian C-Spine Rule for C-spine imaging due to its high sensitivity and specificity 4. there should be a clear visualization of C7 to T1 The lateral cervical spine radiograph is one of the important initial radiographic assessments for the cervical spine in trauma. Cervical spine radiographs are indicated for a variety of settings including 1-3: trauma.Numerous issues affect the acquisition of cervical spine radiographs. anterior to the extent of the vertebral bodies oblique radiographs, some a concern over high dose of the swimmers.2.5 cm above the jugular notch at the level of T1.

Oblique upper cervical spine x ray