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223 > Lumbar > Flashcards

Lumbar Flashcards

1
Q

RP: L3/ 1 1/2” above iliac crest

A
  1. AP LSV (For lumbar exam)
  2. Duncan and Hoen
    PA Wt Bearing Method Lumbar Intervertebral Disks
    R and L Lat Bending
  3. Spinal Fusion Series AP Rec
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2
Q

RP: L4/ iliac crest

A

AP LSV (For lumbosacral exam)

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3
Q

LSV IR

A

14x17 - BD - longit MP - RP

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4
Q

Demo lumbar bodies, Intervertebral disks spaces, laminae, and transverse process

A

AP LSV

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5
Q

Intervertebral disks nearlu // with divergence of beam

A

PA LSV

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6
Q

CR: Perp or 5deg caudal (male) and 8deg caudal (female)

A

Lat LSV

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7
Q

Demo lat view of lumbar vertebrae

A

Lat LSV

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8
Q

LSV Lat Proj Modification to add coccyx

A

Palpate coccyx and draw approx 2-3 fb below it and place it at the level lower edge - CXT

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9
Q

RP: 1-5” above PS

A

Ferguson Method
AP Axial Lumbosacral Junction and SIJ

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10
Q

CR: 45deg cranial
30deg cranial (male)
35deg cranial (female)

A

Ferguson Method
AP Axial LSJ and SIJ

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11
Q

Demo anterior view of LSJ and SIJ

A

Ferguson Method
AP Axial LSJ and SIJ

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12
Q

RP: Spinous process - L4

A

Ferguson Method
PA Axial LSJ and SIJ

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13
Q

CR: 35deg caudal

A

Ferguson Method
PA Axial LSJ and SIJ

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14
Q

RP: ASIS ot 2” below spinous process of L5

A

Meese Recommendation (Prone)

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15
Q

LSJ and SIJ IR

A

8x10 - BD - longit - MP - RP

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16
Q

Part: Est. 2” posterior to ASIS and 1.5” inferior to IC - MLART

A

Lat L5-S1 LSJ

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17
Q

RP: T2/ bn C7-T1/ shaft of clavicle

A

Lat L5-S1 LSJ

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18
Q

L5 to S1 LSJ IR

A

8x10 - BD - longit - MP - IR

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19
Q

CR: 5deg caudal or 8deg caudal - 36-40” - RP - MP - IR

A

Lat L5-S1 LSJ

20
Q

Demo upper sacrum and L4 & L5 (common location of LSJ spondylitis)

A

Lat L5-S1 LSJ

21
Q

Demo open LSJs

A

Francis Recommendation

22
Q

Francis Recommendation

A
  • Locate both iliac crests
  • Draw a line bn 2 interiliac spine
  • Adjust CRD - // - imaginary lines - iliac crest
23
Q

BO: 25-30deg (elevated side - POI)

24
Q

RP: ASIS (1” Medial to elevated ASIS aligned with MLART)

A
  1. APO SIJ
  2. PAO SIJ
  3. AP Axial Oblique SIJ
25
SIJ IR
8x10 - BD - longit - MP - RP
26
Demo SIJ farthest to IR and oblique view - adjacent structures
APO SIJ
27
CR: 20-25deg cranial
AP Axial Oblique SIJ
28
BO: 25-30deg (dep POI)
PAO SIJ
29
Demo SIJ closest to IR
PAO SIJ
30
CR: 20-25deg caudal
PA Axial Oblique SIJ
31
CR enter - level - transverse plane - pass 1.5" distal to L5 spinous process - exit - level - ASIS
PA Axial Oblique SIJ
32
Pt lean lat then expo is made (R/L) w/o lifting foot
Duncan and Hoen PA Wt Bearing Method Lumbar Intervertebral Disks R and L Lat Bending
33
CR Perp or 15-20deg caudal - 36-40" - MSP - MP IR
Duncan and Hoen PA Wt Bearing Method Lumbar Intervertebral Disks R and L Lat Bending
34
Demo mobility of Intervertebral jts (lower thoracic and lumbar region) and localization of disk protrusion
Duncan and Hoen PA Wt Bearing Method Lumbar Intervertebral Disks R and L Lat Bending
35
Bending direction to be labeled with lead marker
Duncan and Hoen PA Wt Bearing Method Lumbar Intervertebral Disks R and L Lat Bending
36
RPs for AP/PA Axial sacrum and coccyx
- 2" superior to PS (Sacrum in supine) - bn ASIS and PS (Sacrum and coccyx in supine) - Visible sacral curve (Sacrum and palpable coccyx for prone)
37
IR for AP/PA Axial sacrum and coccyx
8x10 BD - longit - MP - IR (coccyx) 10x12 '' (sacrum)
38
CRs for AP/ PA Axial sacrum and coccyx
- 15 deg cranial (Sacrum in supine) - 15 deg caudal (Sacrum in prone) - 10 deg caudal (Coccyx in supine) - 10 deg cranial (Coccyx in prone)
39
Demo frontal view of sacrum and coccyx free from superimposition
AP/ PA Axial Sacrum and Coccyx
40
RPs for Lat sacrum and coccyx
- 3 1/2" posterior to ASIS (Sacrum) - 3 1/2" and 2" inferior to ASIS (Coccyx)
41
Determine early scoliosis, localize herniated disk, det motion in area of spinal fusion
Spinal Fusion Series AP Rec
42
Sacralization vs Lumbarization
Sacralization: L5 to S1 Lumbarization: S1 to L5
43
RP: L3 or Spinal Fusion area
Lat Spinal Fusion Series Hyperflexion/ Hyperextension
44
Demo 2 Lat view of area of spinal fusion
Lat Spinal Fusion Series Hyperflexion/ Hyperextension
45

223 (5 decks)

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