Over rotation of more than 45° would cause one pedicle to be foreshortened while the other pedicle aligns to the midline of the vertebral bodies 2. If underrotated, the foramina will be narrowed and a sternoclavicular joint would be superimposed over the vertebral column 3. To demonstrate the intervertebral foramen of the c-spine open, it is necessary to achieve adequate rotation of the vertebral column, usually at 45°. using a larger source-to-image-distance will decrease the magnification of the image and improves acuity 2.make sure that any removable artefacts such as earrings, glasses, tongue piercings or metal dentures are removed to avoid obscuring the anatomy of interest This beta-level system is capable of retrieving text and reduced resolution cervical spine and lumbar spine x-ray images.intervertebral foramina of the side positioned closer to the image receptor should be demonstrated open 4.To ensure this ensure that the interpupillary line is perpendicular to the image receptor but also parallel to the floor patient’s head should be in a lateral position to prevent mandibular superimposition over the vertebral bodies of the cervical spine.all of the cervical spine should be included from C1-T1.inferiorly include to at least T1 (EAM to vertebral prominence of C7 and/or T1).anteriorly to include the soft tissue of the neck.laterally to include the entire cervical spine and its spinous processes.the thorax and cervical vertebral column at 45° to the image receptor.patient is standing erect with either their right or left anterior side closer to the image receptor.Moving the patient's head or neck, or removing a cervical collar could be detrimental.
![x ray database cervical spine x ray database cervical spine](https://images.assetsdelivery.com/compings_v2/samunella/samunella2302/samunella230200242.jpg)
Note: Such views should not be performed on trauma patients without the strict instructions of a qualified clinician who has reviewed the lateral cervical spine image or CT of the cervical spine. This projection can be used to visualize pathology involving the adjacent soft tissue structures or cervical spine, especially stenosis of the intervertebral foramina.