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J R Soc Med 1993;86:141-143
© 1993 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 86, Issue 3 141-143, Copyright © 1993 by Royal Society of Medicine

ORIGINAL ARTICLES

The adequacy of cervical spine radiographs in the accident and emergency department

C Moulton and PD Griffiths
Department of Accident & Emergency Medicine, Hope Hospital, Salford.

One hundred and twenty radiographs of the cervical spine were performed at the request of the Accident and Emergency (A & E) department over a 6 week period. These consecutive films were reviewed for adequacy of anatomical demonstration of the complete cervical spine. The initial series of three films presented to the A& E staff achieved this objective in only 55% of cases overall, although further radiographic examinations requested before the patient left the department raised this figure to 75% for the lateral view and to 70% for the combined anteroposterior (AP) views. From the data it can be predicted that if every patient whose first 3 films were inadequate had received further investigation, the cervical spine would have been well visualized on approximately 90% of radiographs in each plane. The availability of radiologists for advice and their involvement with senior A & E staff in teaching are important factors in improving this situation.
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 Am. J. Roentgenol.Home page
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Am. J. Roentgenol., November 1, 2000; 175(5): 1309 - 1311.
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