Efforts to reduce the dose of diagnostic medical irradiation by applyi
ng selective criteria for radiographic examinations have been addresse
d by the Royal College of Radiologists in their Guidelines. Reduction
of the number of views of an area has also been suggested by some auth
ors. Deviating from one of the fundamentals of skeletal radiology whic
h requires at least two views of any part of the skeleton may lead to
misdiagnosis. This concept is considered in relation to the lumbar spi
ne. Continued routine acquisition of at least two views for the radiog
raphic examination of the lumbar spine is stressed.