![]() ![]() the UK), the usual practice is to not perform routine imaging of the coccyx 2. AP Neck Radiograph (X-Ray) Summary: The AP view of the cervical spine (i.e., 'c-spine') is one of 3 primary views used to evaluate for the presence of a cervical fracture or subluxation after a traumatic injury involving the head and/or neck. Given that management of coccygeal fractures is nearly always non-operative, some radiology literature suggests that x-ray evaluation for coccygodynia is a waste of resources and exposes patients to unnecessary ionizing radiation, without having a measurable impact on clinical outcome. Below we will review the ten steps to reading a c-spine xray. To minimize superimposition of structures over the coccyx region, the urinary bladder and large colon should ideally be emptied before this examination 1. While emergency physicians are increasingly utilizing C-spine CT (especially in high-risk patients and those already getting a head CT), familiarity with the reading of the cervical spine x-ray is a skill that falls solidly within the scope of the ED physician. This projection helps to visualize the pathology of the coccyx, especially fractures. Summary: The AP view of the cervical spine (i.e., 'c-spine') is one of 3 primary views used to evaluate for the presence of a cervical fracture or subluxation after a traumatic injury involving the head and/or neck.
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