Procedures CSpine Positioning Flashcards
CSpine Routine
Lateral
AP
AP Open Mouth (George)
Lateral CSpine
IR
SID
10X12 LW
72”
Lateral CSpine
CR
⊥C4
How to find C4
Use thyroid cartilage at C5 (Adam’s apple)
then come up a bit
Lateral CSpine
PP
(4)
- MCP ⊥ IR
- Top of light approx 1” above TEA
- pt holds weights to relax shoulders
- pt looks straight ahead
Lateral CSpine
SS
(3)
- C1-T1 In true lateral
- Apophyseal joints of C3-7 open
- Sella tursica included
AP Cspine
IR
SID
8x10 LW
40”
AP CSpine
CR
Angle 15-20° cephalic to C4
AP CSpine
PP
(4)
- MSP ⊥ to table
- True AP (mouth closed)
- Line up junction of lips
- Mastoid tip ⊥ to table
AP CSpine
SS
(3)
- C3-T1
- Open intervertebral disk spaces
- Base of skull and mandible SI
Special AP CSpine technique
collimate into skin line
Other name for AP Cspine
AP Axial
AP Open Mouth
IR
SID
8x10 LW or CW (tight collimation)
40”
AP Open Mouth
CR
⊥ to body of C2
AP Open Mouth
PP
(3)
- MSP ⊥ to IR
- Tip of upper teeth and base of skull ⊥ to IR
- Open mouth as wide as possible
AP Open Mouth
SS
(3)
- body and dens of C2
- Lateral masses of C1
- Apophyseal joints of C1-2
Phototiming for AP Open Mouth
FREAKING NONE
PA Obliques
IR
SID
8x10 LW
72”
PA Obliques
CR
Angle 15-20° caudal to C4
PA Obliques
PP
(5)
- Upright PA
- Oblique body 45° look direction as oblique
- Place head true lateral
- Center spine to mid IR
- Relax shoulders
PA Obliques
SS
(1)
Intervertebral foramen of side down and pedicles
PA Obliques
Technique
Same as lateral CSpine
AP Obliques
IR
SID
8X10 LW
40”
AP Obliques
CR
Angle 15-20° cephalic to C4
AP Obliques
PP
(5)
- Supine AP
- Oblique body 45°
- place head true lateral
- center spine to mid IR
- Relax shoulders
AP Obliques
SS
(1)
Intervertebral foramen of side up and pedicles
AP Obliques Technique
same kV as AP
Fuchs
IR
SID
8x10 LW OR CW
40”
Fuchs
CR
// to MML directed just inferior to mentum
Fuchs
PP
(3)
Supine
True AP
Tip chin up until MML is as near ⊥ to table as possible
Fuchs
IR
SID
8x10 LW CW
40”
Fuchs
SS
(1)
Demos dens of C2 within foramen magnum of skull
Fuchs
CR
// to MML directed just inferior to mentum
Fuchs
PP
(3)
Supine
True AP
Tip chin up until MML is as near perp to table as possible