Lumbar Xrays - l5-s1 Flashcards

1
Q

short critique of the ‘spot’

A
intervertabral foramina of l5-s1
pedicles superimposed and in profile
greater sciatic notches superimposed
disk spaces superimposed
L5 no superimposition
1st and 2nd sacral segments included
5th lumbar included
aligned femoral heads
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2
Q

How would you know if there was a lateral lumbar flexion?

A

It shows the pelvic alae without superoinfero alignment and a closed L5-S1 disc space.

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3
Q

How do you correct a vertebral sag causing the interilliac line?

A

Sponge superior to the illiac crest and angle CR caudally until it parallels the interilliac line. Only exception is the scoliotic patient.

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