LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS

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Presentation transcript:

LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175

AP, AP Axial (Ferguson) Both Obliques Lateral L5-S1 Spot LUMBAR SPINE AP, AP Axial (Ferguson) Both Obliques Lateral L5-S1 Spot

AP

AP NO FLEX LEGS FLEX PA

collimation

AP Axial Ferguson

FERGUSON METHOD

Flex legs shield

OBLIQUES RPO & LPO

30 – 50 degrees

L5 –S1 30 degrees

LUMBAR SPINE LAT

X-TABLE LATERAL

LUMBAR SPINE L5-S1 SPOT

OTHER POSTIONS LECTURE ONLY What projections can be taken to determine the range of motion of the spine at the level of the spinal fusion? FLEXION / EXTENSION BENDING (LATERAL)

bending These projections are functional studies of the lumbar spine to determine the range of motion of the spine at the point of spinal fusion. Following spinal fusion surgery, the orthopedic physician or neurosurgeon may order a study to evaluate the flexibility of the spine. These projections will require the patient to assume different positions to determine how much flexibility of the spine has returned. Early signs of scoliosis and herniated intervertebral disk or HNP can be evaluated with these projections.

Flexion / extenison

AP AXIAL SACRUM – CEPAHLIC COCCYX – CAUDAL LATERAL (s) SACRUM COCCYX AP AXIAL SACRUM – CEPAHLIC COCCYX – CAUDAL LATERAL (s)

Flex legs shield

AP – AXIAL BOTH OBLIQUES (SIDE UP) SACRAL ILIAC JOINTS AP – AXIAL BOTH OBLIQUES (SIDE UP)

“HIBBS” METHOD

Unilateral (usually bilateral)

PA - With no rotation of patient

SIDE UP (SIDE UP) SIDE DOWN SIDE UP

SPINE – POSITIONS FOR BEST SEEN? INTERVERTEBRAL FORAMEN ZYGOAPOPHYSEAL ARTICUALTIONS C.SP T.SP L.SP SI joints

Scoliosis series

LONG SID 72” + 14 X 36” GRID CASSETTE

SHOULD INCLUDE TO ACETABULUM

72 – 80 “ SID

Scoliosis cassette 14x 36” Different speed screens Top to bottom

Remove bucky tray

MORE IMAGE REVIEW WEDNESDAY