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Diagnostic Imaging Pathways - Non-Traumatic Neck Pain

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Teaching Points

  • The diagnostic yield of indiscriminate radiography for the assessment of non-traumatic neck pain is low
  • 'Reg Flags' that prompt imaging include - Unexplained weight loss, fever, history of malignancy or immune compromise, IVDU, rheumatalogical condition, Age > 70, severe headaches, dysphagia/nausea/vomiting and compensation/work injury issues
  • Initial radiography is with plain films
  • If there are neurological symptoms or signs, a MRI is indicated
  • Multidetector CT or CT myelography are alternatives to MRI

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