Lecture 5-Spine Flashcards
What spaces/joint spaces should be open in a Lateral C-Spine?
-Open zygapophyseal joints
-Open intervertebral disk spaces
What radiographic sign ensures that the Zygopophyseal joints are open?
Superimposed articular pillars
What breathing technique ensures that C7/T1 is visualized in a lateral C spine?
Suspended deep exipiration (pulls the shoulders down)
What errors have been made in this image of the lateral C spine?
Rotation and tilt
Will not ask us which way we are tilted or rotated just tell that there is rotation and tilt present
What errors have been made in this image of the lateral C spine?
Tilt present
Congenital fusion of C6/7
What errors have been made in this image of the lateral C spine? What correction would have to be made?
-Cutting off C7
-Rotation and tilt present
-Would need a swimmers view
T/F
The intervertebral foramina should be closed in an Oblique C-Spine
False; The intervertebral foramina should be ope in an Oblique C-Spine
What projection is this?
Oblique C-Spine
RPO
Where should the opposite pedicles be in an oblique C spine?
Opposite pedicles are near the anterior vertebral body
What joint spaces should be open in an oblique C spine?
- Zygapophyseal joints
- Open intervertebral disc spaces
- intervertebral foramina (2nd – 7th)
What does an RPO oblique C spine demonstrate?
Demonstrates the z-joints, the left IV foramina and left pedicle
What does an LPO oblique C spine demonstrate?
LPO demonstrates the right IV foramina and pedicles
In an AP oblique C spine, what things should be “up?”
face up, angle up, demonstrated side up, marker face up
What projection is this?
RPO oblique C spine
What errors have been made in this image?
Too much/steep of an oblique, angle good
As you get closer to a lateral from an oblique, which way do the opposite pedicles move?
The opposite pedicles move more posterior
What is this projection and what is this demonstrating? What errors have been made in this image?
-LPO Oblique C spine demonstrating the right z joints,pedicles and IV foramina
-Patient under rotated
If the patient is under rotated in an oblique C spine, where will the opposite pedicles appear?
Will see the pedicles anterior
If the patient is under rotated in an oblique C spine, what two radiographic signs will appear?
-Opposite pedicles too anterior
-Perched appearance
If the joint space is closed in an oblique C spine, what angle was likely used?
Likely no angle was used at all
What projection is this? What errors have been made?
LPO C spine oblique
-Head not turned to lateral position
-Good oblique
What projection is this? What errors have been made?
LPO
-Under rotated, looks perched
-Mandible not turned to a true lateral
What is the posture for an oblique C spine?
Rotate body and head 45º - RPO and LPO
Slightly extend chin-
Ok to turn head toward IR if there is no trauma
Bi lateral views
What angle is used for an oblique C spine?
15º-20º cephalad
Assess the CR angle required from the lateral image