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The On projectional radiography ("X-ray") of the cervical spine, the following radiographic system is recommended in terms of interobserver reliability:<ref name="KettlerWilke2005">{{cite journal|last1=Kettler|first1=Annette|last2=Wilke|first2=Hans-Joachim|title=Review of existing grading systems for cervical or lumbar disc and facet joint degeneration|journal=European Spine Journal|volume=15|issue=6|year=2005|pages=705–718|issn=0940-6719|doi=10.1007/s00586-005-0954-y|pmc=3489462}}</ref>
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