Turetsky D B, Vines F S, Clayman D A, Northup H M
Department of Radiology, University of Florida Health Science Center/Jacksonville.
Ann Emerg Med. 1993 Apr;22(4):685-9. doi: 10.1016/s0196-0644(05)81848-7.
To determine whether the addition of the supine oblique view of the cervical spine can detect fractures or ligamentous injury not seen on the standard three-view examination.
Radiographs of patients with documented cervical spine injury were reviewed retrospectively by three neuroradiologists. Patients were included in the study if the initial interpretation of the three-view series was normal and the abnormal supine oblique view enabled a correct diagnosis to be established.
The emergency department of a university-affiliated hospital with Level I trauma center status.
Eighty-three consecutive patients with documented cervical spine injury evaluated during a 20-month period.
Eight patients demonstrated abnormality to best advantage on the supine oblique view. These included six fractures and two ligamentous injuries. Five patients had abnormalities confined to the supine oblique view, and the remaining three had subtle abnormalities on the cross-table lateral view.
The supine oblique view may detect fractures or ligamentous injury not identifiable on the standard three-view examination. We recommend the routine use of a five-view cervical spine series with the inclusion of 30-degree supine oblique views in the evaluation of acute cervical spine injury.
确定增加颈椎仰卧斜位片能否检测出标准的三张片子检查中未发现的骨折或韧带损伤。
三位神经放射科医生对有记录的颈椎损伤患者的X光片进行回顾性研究。如果三张片子系列的初步解读正常，而仰卧斜位片异常能够确诊，则将患者纳入研究。
一所具有一级创伤中心地位的大学附属医院急诊科。
在20个月期间连续评估的83例有记录的颈椎损伤患者。
8例患者在仰卧斜位片上显示出最佳异常表现。其中包括6例骨折和2例韧带损伤。5例患者的异常仅局限于仰卧斜位片，其余3例在水平侧位片上有细微异常。
仰卧斜位片可能检测出标准三张片子检查无法识别的骨折或韧带损伤。我们建议在评估急性颈椎损伤时常规使用包括30度仰卧斜位片在内的颈椎五张片子系列。
