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LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS
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AP, AP Axial (Ferguson) Both Obliques Lateral L5-S1 Spot
LUMBAR SPINE AP, AP Axial (Ferguson) Both Obliques Lateral L5-S1 Spot
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AP
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AP NO FLEX LEGS FLEX PA
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collimation
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AP Axial Ferguson
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FERGUSON METHOD
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Flex legs shield
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OBLIQUES RPO & LPO
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30 – 50 degrees
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L5 –S degrees
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LUMBAR SPINE LAT
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X-TABLE LATERAL
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LUMBAR SPINE L5-S1 SPOT
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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)
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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.
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Flexion / extenison
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AP AXIAL SACRUM – CEPAHLIC COCCYX – CAUDAL LATERAL (s)
SACRUM COCCYX AP AXIAL SACRUM – CEPAHLIC COCCYX – CAUDAL LATERAL (s)
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Flex legs shield
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AP – AXIAL BOTH OBLIQUES (SIDE UP)
SACRAL ILIAC JOINTS AP – AXIAL BOTH OBLIQUES (SIDE UP)
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“HIBBS” METHOD
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Unilateral (usually bilateral)
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PA - With no rotation of patient
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SIDE UP (SIDE UP) SIDE DOWN SIDE UP
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SPINE – POSITIONS FOR BEST SEEN?
INTERVERTEBRAL FORAMEN ZYGOAPOPHYSEAL ARTICUALTIONS C.SP T.SP L.SP SI joints
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Scoliosis series
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LONG SID 72” + 14 X 36” GRID CASSETTE
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SHOULD INCLUDE TO ACETABULUM
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72 – 80 “ SID
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Scoliosis cassette 14x 36” Different speed screens Top to bottom
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Remove bucky tray
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MORE IMAGE REVIEW WEDNESDAY
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