CAMRT Radiography Practice Exam

What is the main focus of imaging in trauma cases involving the cervical spine?

1. Assessment of vertebral alignment

2. Detection of soft-tissue injuries

3. Evaluation of neurologic function

4. Measurement of spinal canal diameter

The correct answer is: Assessment of vertebral alignment

The primary focus of imaging in trauma cases involving the cervical spine is the assessment of vertebral alignment. Proper alignment of the cervical vertebrae is crucial in determining whether there is stability and integrity in the spinal column following trauma. Misalignment can indicate fractures, dislocations, or other traumatic injuries that might compromise the stability of the cervical spine. When evaluating trauma patients, especially those who may have sustained an injury in a high-impact incident, ensuring that the vertebral bodies are correctly aligned is critical for planning further management and potential surgical intervention. Misalignment can lead to spinal cord injury or significant neurological compromise if not addressed appropriately. While detection of soft-tissue injuries, evaluation of neurologic function, and measurement of spinal canal diameter are certainly important aspects of comprehensive cervical spine assessment, they are often secondary to the immediate need to evaluate the structural integrity of the vertebrae. These other factors may be assessed during the imaging process but do not take precedence over the assessment of vertebral alignment in the context of trauma.