Assessment on each cervical radiographic view

• Measure the distance from the posterior margin of the anterior C1 arch to the anterior aspect of the odontoid (atlantodens interval)

• Assess intervertebral disc space heights

• Confirm that the superior aspect of T1 is well visualized

OBLIQUE VIEW

• Assess facet joint alignment

• Assess neural foramina and their bony boundaries

OPEN-MOUTH VIEW

• Check symmetry of the odontoid in relation to the lateral masses

• Assess the atlantoaxial joints

Figure 10-3. Normal 45° oblique cervical Figure 10-4. Open-mouth anteroposterior (AP) view. Note the relationship of radiograph. The foramina are oval spaces and the odontoid process and adjacent C1-C2 facet joints. (From Heller JG, Carlson the facet joints are well defined. (From Katz DS, GC. Odontoid fractures. Spine State Art Rev 1991;5:217-34, with permission.) Math KR, Groskin SA, editors. Radiology Secrets. Philadelphia: Hanley & Belfus; 1998.)

Figure 10-3. Normal 45° oblique cervical Figure 10-4. Open-mouth anteroposterior (AP) view. Note the relationship of radiograph. The foramina are oval spaces and the odontoid process and adjacent C1-C2 facet joints. (From Heller JG, Carlson the facet joints are well defined. (From Katz DS, GC. Odontoid fractures. Spine State Art Rev 1991;5:217-34, with permission.) Math KR, Groskin SA, editors. Radiology Secrets. Philadelphia: Hanley & Belfus; 1998.)

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