Spine positioning review Flashcards

1
Q

Why do we extend the chin on a lateral C-spine?

A

To prevent superimposition of the mandible on upper vertebrae

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2
Q

What are the criteria for an acceptable AP Axial C-spine view?

A

C3-T2 demonstrated, base of skull and mandible superimpose C1-C2, intervertebral disk spaces open

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3
Q

Why should we shoot PA instead of AP for scoliosis series in children?

A

It significantly reduces radiation dose on sensitive areas such as the thyroid gland and breast tissue and gonads.

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4
Q

Where does CR enter for AP C-spine Axial, oblique and lateral?

A

C4 - thyroid cartilage

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5
Q

Where does CR enter for AP open mouth?

A

through center of mouth

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6
Q

Where does CR enter for AP and lateral thoracic?

A

T7 - 3-4 inches below below jugular notch

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7
Q

Where does CR enter for AP lumbar and lateral lumbar?

A

At the iliac crest

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8
Q

Where does CR enter for oblique lumbar?

A

1-2 inches above iliac crest

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9
Q

Where does the CR enter for L5-S1 spot view?

A

1.5 inches inferior to iliac crest and 2 inches posterior to ASIS

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10
Q

Where does the CR enter for AP Axial sacrum and coccyx?

A

2 inches above pubis sympysis

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11
Q

Where does CR enter for lateral sacrum/coccyx?

A

3-4 inches posterior to ASIS

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12
Q

Which projections of the spine require the CR to be angled?

A

AP Axial C-spine, C-spine obliques, AP axial sacrum/coccyx

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13
Q

What is another name for AP open mouth?

A

Odontoid

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14
Q

Why would we use hyper flexion and hyper extension lumbar spine views?

A

Assessment of mobility at a spinal fusion site.

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15
Q

Why would we use hyper flexion and hyper extension on cervical spine views?

A

Demonstrate AP vertebral mobility, whiplash, and follow up on spinal fusion surgery

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16
Q

What is Clay Shovelers fracture and what view demonstrates it best?

A

results from hyperflexion of the neck and results in avulstion fractures to the spinous process of C6 -T1.
Best viewed on lateral cervical spine.

17
Q

What is spondylolisthesis and what view is it best demonstrated?

A

The forward movement of one vertebra in relation to another.
Best viewed on AP and lateral lumbar spine.

18
Q

The z-joints of the upper lumbar are _____ in relationship to the midsagittal plane.

A

50 degrees

19
Q

The z-joints of the lower lumbar are ____ in relationship to the midsagittal plane.

A

45 degrees

20
Q

How is the CR angled for a AP axial sacrum?

A

15 degrees cephalic

21
Q

How is the CR angled for a AP Axial coccyx?

A

10 degrees caudad

22
Q

For a lateral L5-S1 projection, the CR must be parallel to the____.

A

interiliac line