Spine Flashcards by erin hush

Lumbar ap position

Supine and flex hip and knees
Feet sole on table
Asis equidistant from table
Arrested expiration
Arms by side

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Lumbar ap centring point

L3 level
Lower costal margin

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Lumbar ap essential image characteristics

T12 to sacroiliac joints should be equidistant also
Ivd spaces seen
Bony details visible

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Lumbar lateral position

Lie on side
Arms folded in front head, hip knees flexed
Asis and shoulders superimposed

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Lumbar lateral centring point

8-10cm anterior to spinous process at l3 level

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Lumbar lateral essential image characteristics

Bony details visible
T12 to s1
Cortices superimposed
Ivd space visible

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Lumbar oblique position

Supine rotate 45
Knees hips flexed
Arms moved to near head

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Lumbar oblique centring point

L3 level

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Lumbar oblique essential image characteristics

Demonstrate pars interarticularis
Posterior alignment

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L5-s1 position

Same as lateral spine
Angle 5 caudal

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L5- s1 centring point

8cm anterior to l5, at level of psis

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L5-s1 essential image characteristics

L5 and s1 visible
Clear joint space

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Thoracic ap position

Supine, legs straight
Arrested inspiration
Upper ir just below thyroid cartilage
Asis and shoulders equidistant from table

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Thoracic ap centring point

Midline 5cm below sternal notch

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Thoracc ap essential image characteristics

Bony details seen
C7-l1
Ivd space seen
No rotation

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T spine lateral position

Lies on side
Middle of axilla in middle of table
Arms folded over head
Shoulders and Asis superimposed
Arrested inspiration

T spine lateral centring point

10cm below t7 or 3 inches
5cm in front of spinous process

T spine lateral essential image characteristics

T3-t12 seen
Bon details visible
Ivd space seen
Posterior ribs superimposed

C spine ap position

Supine
Extend neck to raise chin slightly and depress shoulders
5-15 cranial

C spine ap centring point

Just below thyroid cartilage

C spine ap essential image characteristics

C3 to t1
Soft tissue margins
Mandible occipital bone superimposed
1st rib and clavicle visible

C spine peg position

Supine
Open mouth as wide as possible
Extend neck so top teeth and mastoid line up

C spine peg centring point

Midline at mastoid process level

C spine peg essential image characteristics

Upper central teeth superimpose occipital bone
C1-c3 visible
No rotation

C spine lateral position

Stand affected side next to detector Extend head so chin raised Depress shoulders can be aided by expiration

C spine lateral centring point

C4 level, 2.5cm behind and 4cm below angle of mandible

C spine lateral essential image characteristics

C1 to t1 seen Mandible angles superimposed Soft tissues visible

C spine swimmers position

Supine Arm nearest detector raised abov head and arm shoulder nearest tube depressed

C spine swimmers cetring point

Just above shoulderc

C spine swimmers essential image characteristics

Need to see c7/t1 junction

C spine posterior oblique position

Standing Turn 45 15 cranial

C spine posterior oblique centring point

c4 thyroid cartilage level

C spine posterior oblique essential image characteristics

Show iv foramina for size, shape or impingement

C spine flexion and extension position

Position for lateral Then flex neck and tuck chin in to chest as far as possible Then extend neck and raise chin as far as possible

C spine flexion extension centring point

C4 thyroid cartilage

C spine flexion extension essential image characteristics

C1-c7 visible Soft tissues Assess range of movement and stability and atlanto-axial joint