Study guide: Lumbar/sacrum/coccyx Flashcards
What do you see on an AP L-Spine
intervertebral disk spaces
AP L-Spine
Cassette size?
14x17
AP L-Spine
SID?
48”
AP L-Spine
What is the patient position?
Supine, upright
AP L-Spine
What is the IR position for lumbosacral?
@level of iliac crest
AP L-Spine
What is the IR position for lumbar only?
@1.5” above the iliac crest
AP L-Spine
What is the Central Ray position for Lumbosacral?
@level of iliac crest
AP L-Spine
What is the Central Ray position for Lumbar only?
@1.5” above the iliac crest
For Ap L-Spine what is the breathing technique used?
Suspend at end of expiration
For AP L-Spine what is the collimation for Lumbosacral?
8x17
For AP L-Spine what is the collimation for Lumbar only?
8x14
For Lateral L-Spine what is being seen?
Intervertebral Foramina
For Lateral L-Spine what is the cassette size?
14x17
For Laeral L-Spine what is the SID?
40”
For Lateral L-Spine what is the patient position?
(lateral) upright/recumbent
For Lateral L-Spine what is the IR position for Lumbosacral?
@level of the iliac crest
For lateral L-Spine what is the IR position for Lumbar only?
1.5” above the iliac crest
For Lateral L-Spine what is the central ray position for Lumbosacral?
@ the level of the iliac crest
For Lateral L-Spine what is the central ray position for lumbar only?
1.5” above the iliac crest
For Lateral L-Spine what is the breathing technique used?
Suspend at the end of expiration
For Lateral L-Spine what is the collimation for Lumbosacral?
8x17
For Lateral L-Spine what is the collimation for Lumbar only?
8x14
For L5-S1 Lateral “Spot” what is the cassette size?
10x12
For L5-S1 Lateral “Spot” what is the SID?
40”
For L5-S1 Lateral “Spot” what is the patient position?
lateral recumbent
For L5-S1 Lateral “Spot” what is the IR Position?
center to Central ray
For L5-S1 Lateral “Spot” what is the Central Ray position?
center on coronal plane, 2” posterior to ASIS ad 1.5” below iliac crest
Use 5-8 degree caudal
For L5-S1 Lateral “Spot” what is the breathing technique used?
suspend
For L5-S1 Lateral “Spot” what is the collimation?
6x8
For l-spine AP Oblique (RPO/LPO) what is being seen?
zygapophyseal joints closest to the IR
For l-spine AP Oblique (RPO/LPO) what is the cassette size?
10x 12 or 14x17
For l-spine AP Oblique (RPO/LPO) what is the SID?
40”
For l-spine AP Oblique (RPO/LPO) what is the patient position?
recumbent upright with an 45 degree angle for the joints closest to the IR, or 60 degree angle to see L5-S1
For l-spine AP Oblique (RPO/LPO) What is the IR position?
center to central ray
For l-spine AP Oblique (RPO/LPO) what is the Central ray position?
2” medial to ASIS and 1.5” above iliac crest
For l-spine AP Oblique (RPO/LPO) what is the breathing technique used?
suspend at end of expiration
For l-spine AP Oblique (RPO/LPO) what is the collimation?
9x14
For L-spine PA Oblique (RAO/LAO) what is being seen?
zygapophyseal joints farthest from IR
For L-spine PA Oblique (RAO/LAO) what is the cassette size?
10x12 or 14x17
For L-spine PA Oblique (RAO/LAO) what is the SID?
40”
For L-spine PA Oblique (RAO/LAO) what is the patient position?
upright, recumbent with 45 degree angle to show joints farthest or 60 degree angle for L5-S1
For L-spine PA Oblique (RAO/LAO) what is the IR position?
center to central ray
For L-spine PA Oblique (RAO/LAO) what is the central ray position?
enter elevated side, 2” lateral to palpable spinous process and 1.5” above crest
For L-spine PA Oblique (RAO/LAO) what is the breathing technique used?
suspend at end of respiration
For L-spine PA Oblique (RAO/LAO) what is the collimation?
9x14
For L-spine AP/PA Axial “Ferguson Method” what is the cassette size?
10x12
For L-spine AP/PA Axial “Ferguson Method” what is the SID?
40”
For L-spine AP/PA Axial “Ferguson Method” what is the patient position?
supine (MSP centered)
For L-spine AP/PA Axial “Ferguson Method” what is the IR position?
center to Central ray
For L-spine AP/PA Axial “Ferguson Method” what is the central ray position?
1.5” above the pubic symphysis
30-35 degree cephalic angle
For L-spine AP/PA Axial “Ferguson Method” what is the breathing technique used?
suspend
For L-spine AP/PA Axial “Ferguson Method” what is the collimation?
8x10
For Sacroiliac Joints AP Oblique (RPO/LPO) what is the cassette size?
10x12
For Sacroiliac Joints AP Oblique (RPO/LPO) what is being seen?
SI joint farthest from the IR
For Sacroiliac Joints AP Oblique (RPO/LPO) what is the SID?
40”
For Sacroiliac Joints AP Oblique (RPO/LPO) What is the Patient position?
supine with 25-30 degree angle
For Sacroiliac Joints AP Oblique (RPO/LPO) what is the IR position?
@ the level of the ASIS
For Sacroiliac Joints AP Oblique (RPO/LPO) what is the Central ray position?
center 1” medial to the elevated ASIS
For Sacroiliac Joints AP Oblique (RPO/LPO) what is the breathing technique used?
suspend
For Sacroiliac Joints AP Oblique (RPO/LPO) what is the collimation size?
6x10
For Sacroiliac Joints PA Oblique (RAO/LAO) what is being seen?
SI joint closest to the IR
For Sacroiliac Joints PA Oblique (RAO/LAO) what is the cassette size?
10x12
For Sacroiliac Joints PA Oblique (RAO/LAO) what is the SID?
40”
For Sacroiliac Joints PA Oblique (RAO/LAO) What is the patient position?
prone with 25-30 degree angle
For Sacroiliac Joints PA Oblique (RAO/LAO) what is the IR position?
@ the level of the ASIS
For Sacroiliac Joints PA Oblique (RAO/LAO) what is the central ray position?
centered 1” medial to ASIS
For Sacroiliac Joints PA Oblique (RAO/LAO) what is the breathing technique used?
suspend
For Sacroiliac Joints PA Oblique (RAO/LAO) what is the collimation?
6x10
For the Sacrum AP/PA Axial what is the cassette size?
10x12
For the Sacrum AP/PA Axial what is the SID?
40”
For the Sacrum AP/PA Axial what is the patient position?
supine/prone
For the Sacrum AP/PA Axial what is the IR position?
center to central ray
For the Sacrum AP/PA Axial what is the central ray position?
Supine: 15 degrees cephalic- 2” above pubic symphysis
Prone: 15 degrees caudal- center to sacral curve
For the Sacrum AP/PA Axial what is the breathing technique used?
suspend
For the Sacrum AP/PA Axial what is the collimation?
10x12
For the coccyx AP/PA Axial what is the SID?
40”
For the coccyx AP/PA Axial what is the patient position?
supine/prone
For the coccyx AP/PA Axial what is the IR position?
Center to Central ray
For the coccyx AP/PA Axial what is the central ray position?
supine: 10 degree caudal- 2” above pubic symphysis
prone: 10 degree cephalic- center to coccyx
For the coccyx AP/PA Axial what is the breathing technique used?
suspend
For the coccyx AP/PA Axial what is the collimation?
8x10
For Lateral Sacrum/Coccyx what is the cassette size?
10x12
For Lateral Sacrum/Coccyx what is the SID?
40”
For Lateral Sacrum/Coccyx what is the patient position?
Supine
For Lateral Sacrum/Coccyx what is the IR position?
center to central ray
For Lateral Sacrum/Coccyx what is the central ray position?
sacrum: 3.5” posterior at level of the ASIS
coccyx: 3.5” posterior and 2 “ inferior to ASIS
For Lateral Sacrum/Coccyx what is the breathing technique used?
suspend
For Lateral Sacrum/Coccyx what is the collimation?
sacrum: 10x12
coccyx: 6x8
For Thoracolumbar Spine Scoliosis “Ferguson Method” (AP,PA,LATERAL) what is the patient position?
Upright, seated, 2nd image standing with one foot elevated 3-4”
For Thoracolumbar Spine Scoliosis “Ferguson Method” (AP,PA,LATERAL) what is the IR position?
bottom at 1” of iliac crest
For Thoracolumbar Spine Scoliosis “Ferguson Method” (AP,PA,LATERAL) what is the central ray position?
perpendicular to IR
For Thoracolumbar Spine Scoliosis “Ferguson Method” (AP,PA,LATERAL) what is the breathing technique used?
Suspend
For Thoracolumbar Spine Scoliosis “Ferguson Method” (AP,PA,LATERAL) what is the collimation?
12x17
Abnormal increase in anterior convexity (posterior concavity) for Lumbar is?
Lordotic
The sacrum has how many vertebral segments?
5
Which gender has a longer, narrower, evenly curved and more vertical sacrum?
male
Which gender has an acutely curved, greatest curvature in lower half, and lies more oblique sacrum?
female
The coccyx is composed of how many vertebrae that is fused into one?
3-5
The sacroiliac joint is made up of?
two ilia and sacrum
How many vertebrae for Lumbar spine?
5
what spine lacks costal facets (no rib interaction) and holds highest weight-bearing?
Lumbar spine
Lumbar spine consist of:
body, vertebral foramen, spinous process, inferior/superior articular process, transverse process and inferior/superior notch
The inferior/superior notch creates a foramen for?
spinal nerves
What is a smoothly rounded projection on the back of the superior articular process?
Mammillary process
what is at the back of the root of the transverse process?
accessory process
Part of the laminae between the superior and inferior articular processes is called?
pars interarticularis
The zygapophyseal joints incline posteriorly forming what angle?
30-60 degrees
What angle is L1-L2?
15 degrees
What angle is L2-L3?
30 degrees
What angle is L3-L4, L4-L5, to L5-SI?
45 degrees
What disease is an acquired bony defect occurring in the pars interarticularis?
Spondylolysis
What condition is characterized by anterior displacement of one vertebra over another?
Spondylolisthesis
The sacral foramina allows passage of?
nerves and blood vessels
What joint is cartilaginous symphysis?
Intervertebral joints
Which joint is synovial gliding?
zygapophyseal joints
What articulates with the head of the ribs?
Costal facets
What articulates with the tubercle of the ribs?
demifacets
What part of the sacrum makes up the SI joint with the pelvis?
auricular surface