Interpretation of cervical spine radiographs

Patients who present to emergency departments following neck trauma are frequently investigated with plain radiographs. The great majority of radiographs will be normal, but interpreting these films can be a daunting task for a junior doctor as the findings may be subtle and the consequences of missing an injury may be catastrophic. The process can be made simpler by understanding which patients require X-rays, developing a systematic approach to reading the films and being able to decide whether further investigation is required. A basic comprehension of the types of cervical spine trauma is useful as well as understanding the principles of stable and unstable injuries.