17/06/2026
Mr T’s cervical vertabrae, why was the severity of the injury missed?
It’s important to start with the fact that X-rays are not the gold standard of imaging any longer, MRI and CT would have visualised this injury and its severity.
X-rays require at least two views taken at roughly 90 degree angles to one another (orthogonal views) because a single image flattens 3 dimensional anatomy into 2 dimensions. This overlap can easily hide fractures, dislocations, or other injuries.
Why Two Views are Essential, Depth Perception: A single flat image cannot tell a radiologist if an injury is positioned in the front or back of a bone. Overlapping Structures, Other bones or dense tissues might obscure a fracture in one view, but the injury becomes obvious when rotated .Displacement and Alignment, Orthogonal views (typically an Anteroposterior or AP view, and a Lateral view) let veterinarians accurately measure whether bones are separated or properly aligned.
Why Angles Must Be Exact, Avoiding Distortion Because X-ray beams travel through a joint at an angle, any deviation from standard, established protocols, alters the perspective. This can cause bones to look artificially elongated, narrowed, or displaced.
Eliminating Superimposition, A joint contains multiple overlapping bones. If the angle is slightly off, a healthy bone can overlap a hairline fracture or cyst, hiding the injury. Exact, angled oblique views are used specifically to isolate and "pull" distinct parts of a joint out from behind other bones.
Evaluating Joint Space & Symmetry. The width of the joint space is a major indicator of arthritis or cartilage wear. If the beam is not perfectly perpendicular to the joint, it can artificially "narrow" the space on the radiograph, leading to a false diagnosis of disease.
For the full video explaining his injuries head to patreon to view his album.
https://www.patreon.com/Becks_nairn/posts/going-over-mr-ts-161229291/edit
The photo below shows a normal APJ(articulating process joint) on the left and mister Ts on the right side.