Page 180 - A Practical Guide to Equine Radiography
P. 180

VetBooks.ir                                                          CHAPTER 15






                  Cervical spine



















                  Indications                                     •  Parallel grid, depending on the system used
                  Radiography of the cervical spine is becoming   •  Rope/webbing headcollar to avoid metal
                  more and more common and is useful in the         artefacts in the cranial neck region
                  diagnosis of horses with:                       •  Blinkers
                                                                  •  Head stand
                  •  Ataxia and abnormal gait                     •  Mounted plate holder (ceiling- or wall-
                  •  Neck pain and stiffness                        mounted)
                  •  Cervical trauma                              •  Radiation safety equipment: lead gowns and
                  •  Abnormal head or neck carriage                 thyroid protectors.
                  •  Forelimb lameness unable to localize by
                     diagnostic analgesia
                  •  Scintigraphic or ultrasonographic findings   Preparation
                     suggestive of cervical disease               Sedation of the patient is advised. The use of
                  •  Non-specific signs of neck problems including:   blinkers is helpful in some cases.
                     poor performance and equitation problems
                  •  As part of a pre-purchase examination.
                                                                  Radiographic protocol
                                                                  A  standard  radiographic  examination of  the
                  Equipment                                       cervical spine of an adult horse is composed of
                  For a complete study of the cervical spine, the   four overlapping laterolateral (LL) views.
                  following equipment is required:                  Additional projections:


                  •  Portable X-ray machine is sufficient for the   •  Ventrodorsal (VD) of the cranial neck
                     cranial and mid neck; more caudal projec-    •  Right ventral-left dorsal oblique (RV-LDO)
                     tions require a high-output generator          and left ventral-right dorsal oblique (LV-RDO).
                  •  Large plates (35 × 43 cm)


















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