Abstract: A guide for assisting a health care practitioner in evaluating radiographic images of spines is based on a flexible transparent sheet bearing images thereon which each include an edge representing the periphery of a vertebra and a line inscribed thereon laterally displaced from the edge by a measured distance which represents the maximum thickness of soft tissue allowed in the absence of a cervical spinal injury for each corresponding cervical vertebra. A process for evaluating a radiographic image of a spine involves placing the guide over a lateral radiographic image of a subject spine that is to be evaluated with the edge representing the periphery of a selected vertebra placed in alignment with the radiographic image of the corresponding selected cervical vertebra. The amount of soft tissue appearing in radiographic image is observed in relation to the line and thereby determining whether the amount of soft tissue present exceeds a soft tissue allowance for the specific vertebra.