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Cervical Spine CT is performed in the radiology department scanning room, with the patient lying flat (supine) on a CT table. The head is placed in a comfortable ‘docking pillow’ and the CT scanner gantry (donut) passess over and around the patient to perform the scan. The gantry travels over the patient from the level of the jaw to the upper shoulders to create the scan.
Cervical Spine CT is useful in patients who have suffered trauma to the neck following an injury. It is a more powerful tool to evaluate potential bony trauma in patients with normal cervial spine X-Rays (up to 20% of cervical spine fractures may be missed on plain X-Rays alone); or to determine the extent of potential spinal cord impingement in patients with significant fractures on plain cervical spine radiology (X-Rays). Indication in patients who have suffered a neck injury include:
Cervical spine CT scans are interpreted by an experienced radiologist. It provides highly detailed information regarding the cervical vertebrae (bony structures of the neck). In particular evidence of fractures, articular dislocations, degenerative bony disease, malignancy and congenital bony abnormalities may be highlighted. Soft tissue structures such as ligaments are better visualised using an MRI scanner.
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