Diagnostic accuracy of Lateral X-Ray of Cervical Spine in detection of fracture in hospitalized patients.

Background: Lateral X-ray of the cervical spine (LCSX) is a common diagnostic tool to detect fractures in hospitalized patients. Its non-invasive nature and cost-effectiveness make it preferred imaging technique for rapid identification fractures. However, its accuracy still subject debate further research needed establish reliability validity. This study aimed determine LCSX detecting patients, using multi-detector computed tomography (MDCT) as gold standard.
 Methodology: cross-sectional retrospective was conducted at tertiary care hospital Karachi. The included 431 male female patients aged between 18 60 years referred by primary medical team Radiology Department both MDCT Patients with known cases determined history, examination, previous radiological modalities like LCSX, MDCT, or MRI time were included.
 Results: identified 63 (14.6%) having fractures, while 368 (85.3%) reported not on 116 (26.9%) out found have 315 (73.08%) sensitivity, specificity, positive predictive value, negative calculated. sensitivity be 58.35%, specificity 100%, value 85.59%, 87.70%.
 Conclusion: has low trauma resulting missed diagnoses critical compromised patient care, which can lead increased morbidity mortality.