II. Indications: Suspected Cervical Disc Herniation
- Persistent symptoms despite 2 weeks rest
- Neurologic deficit
III. Views
- Anteroposterior C-Spine XRay
- Lateral C-Spine XRay
- Oblique C-Spine XRay (shows foramen)
IV. Findings: Disc Herniation
- Chronic disc degenerative disease
- Decreased disc space height
- Osteophytes Anteriorly and Posteriorly
- Encroachment of Osteophytes on foramen
- Acute disc disease
- Xray usually normal in acute soft disc rupture
V. Precautions
- Asymptomatic adults have abnormal XRAYs in 35% of cases
- Good history and examination is diagnostic cornerstone