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spine · Anterior/Posterior Oblique 45 deg

Cervical Spine Obliques

Patient erect, body rotated 45 deg.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Rotate whole body 45 deg (RAO/LAO shows down-side foramina; RPO/LPO shows up-side).

  2. 02

    Raise chin, look straight ahead.

  3. 03

    AP oblique: 15-20 deg cephalad; PA oblique: 15-20 deg caudad.

  4. 04

    Centre to C4.

  5. 05

    Do both sides.

Anatomical & patient position

Patient: Patient erect, body rotated 45 deg.

Part: Chin raised slightly; head turned to parallel IR.

Central ray & centring point

15-20 deg cephalad (posterior oblique) to C4.

Exposure factors

kVp

75-80 kVp

mAs

10-12 mAs

SID

150-180 cm

IR size

24 x 30 cm

Grid

Yes

Respiration

Suspended

Clinical indications

  • Intervertebral foramina narrowing
  • Radiculopathy, facet disease

Contraindications & precautions

  • Suspected unstable spinal injury - do NOT move neck/spine; use cross-table lateral first and keep collar
  • Pregnancy (relative) - confirm LMP / 10-day rule, justify exposure and shield where possible

Structures shown & evaluation criteria

  • Open intervertebral foramina C2-C7
  • Pedicles

Radiology By KV Sir — radiographic positioning for students & technologists.

Educational reference only. Always follow your department protocol & ALARA.