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The swimming view achieves visualization below the clavicle in some participants (38%).
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Lateral cervical spine X-rays were performed in all subjects with the SLC view, arm traction view, and swimming position view, with the heights of the lowest vertebra measured in each case.
This study is a comparison of the SLC view with the arm traction view and swimming position view.
However, vertebral bodies below the clavicle were visualized in 15 patients (37.5%) using the swimming position view, with over 70% (11/15) of these participants having a normal BMI.
Our results approximate the results of a previous study by Ireland et al., which reported that 37% of patients imaged with the swimming position view showed visualization of the posterior structures [6].
While both arm traction and swimming position views hold benefit with better visualization, each view has been shown in our study to have unique advantages.
The vertical height of the SLC view was then compared with that of the arm traction and swimming position views.
Direct comparison of increased vertical height between the arm traction and swimming position views showed no difference in increased visualization (p = 0.841).
Our results demonstrate that both arm traction and swimming position views have been found to increase visualization of the cervical spine by an average of 9 mm.
For the arm traction and swimming position views, there was also no difference between groups showing or not showing an enhanced view defined earlier in this paper as visualization of more than one third of the lowest cervical vertebral body according to age, gender, BMI, SMD, and BAD (Table 4).
Lateral cervical X-rays with arm traction and swimming position enhance the view of SLC X-rays.
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