Allow me to stir up a controversy. Do we really need an AP and odontoid film
as part of a Pediatric C-spine series to radiologically"clear" the Cspine?
It has been a lo....ng shift, however, I am constantly faced with an
inadequate "open mouth" view of the odontoid ( not centered well, creating a
pseudo-offset of the lateral masses of C1 or inadequate view of the odontoid
..). As far as the AP view is concerned, I cannot recall an abnormality on
AP that I did not see on the lateral view!!
Willing to take the heat......it's summer anyway!!
Jay Pershad, MD
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