Reliability and validity of X-ray findings in cervical dysfunction: A brief review

Abstract

Background: Cervical spine dysfunction is a common and broad condition represented by pain, limitation in the range of physiological movements, tenderness, and stiffness besides symptoms and information gathered from the patient history in decision-making, and the diagnostic and prognostic accuracy can be done using magnetic resonance imaging (MRI), computed tomography (CT) scan, myelogram, discography, single photon emission CT, and X-ray. Aims and Objectives: The aim of the present study was to find the X-ray findings in cervical dysfunction and assess its psychometric properties through analyzing various articles. Methodology: Various articles from following databases such as Science Direct, Springer Link, EMBASE, PubMed, and Cochrane were gathered using terms such as “Cervical Dysfunction,” “Cervical Canal Diameter,” and “Radiological Findings.” A total of 12 articles based on the PICO format were included in the study, and based on their findings, a review was made. Discussion: MRI is the first line of choice to diagnose cervical disorders, but as we know, our India is developing country, so we need the cheap and easy diagnostic tool to assess. The reliability of the Torg ratio/Pavlov ratio, sagittal dimension of cervical canal, stress lines of the cervical spine, and cervical angle are different methods used to diagnose the cervical dysfunction using anteroposterior and lateral view of X-ray. Conclusion: Radiographic measurements can be used to evaluate cervical spondylosis and cervical stenosis but cannot evaluate neurological outcomes.