All initial evaluations of cervical spine injuries should begin with plain radiographs. A variety of other imaging modalities may also be used, such as conventional tomography, CT, and MRI. An appropriate choice has to be made quickly to make a diagnosis of cervical trauma. When cervical trauma exists, it may be at multiple levels, justifying the fact that if treatment is to be instituted, imaging should include the upper and lower cervical hinges. The quality of the standard radiographs varies greatly; their negative quality and predictive value decreases when the severity of the injury increases.
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