T- Spine Flashcards

1
Q

how many vertebrae are in the Thoracic vertebrae

A

12

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2
Q

what occupies the posterior thorax

A

Thoracic vertebrae

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3
Q

what are the unique features of thoracic vertebrae

A

Costal facets on posterior, lateral sides of bodies for articulation with head of ribs

Facets on transverse processes for articulation with tubercle of ribs (except for T11 and T12)

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4
Q

what is the main difference of thoracic vertebrae

A

the ribs articulate with the thoracic spine

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5
Q

What is seen on the obliques of the tspine

A

Zyapophyseal joints Seen on obliques
70 degrees

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6
Q

what is seen on the laterals of the thoracic spine

A

Intervertebral Foramen
90 degrees

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7
Q

Essential projections for T spine

A
  • AP
    -Lateral
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8
Q

Patient position for AP Tspine

A

Supine or upright
Shoulders in same horizontal plane
Arms by side

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9
Q

SID for AP Tspine

A

40 inches

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10
Q

Part position for AP Tspine

A

MSP in center
If supine, reduce kyphosis by flexing hips and knees to place thighs vertical
If upright, weight should be equally distributed on both feet

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11
Q

where should IR be placed for AP Tspine

A

IR placed 1½ to 2 inches (3.8 to 5 cm) above shoulders to place T7 in center

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12
Q

if the patient is supine for AP Tspine how do you reduce kyphosis

A

flexing hips and knees to place thighs vertical

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13
Q

CR for AP Tspine

A

Perpendicular to IR
Enters patient halfway between jugular notch and xiphoid process
centering at T7

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14
Q

What is the breathing for the AP Tspine

A

expiration

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15
Q

where is the anode heel affect prominently known in

A

T spine

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16
Q

where is the cathode by in the tspine

A

Abdomen
(feet)
FAT CAT

17
Q

what is demonstrated on lateral projection t spine

A

T-spine intervertebral foramina
demonstrated on lateral projection

18
Q

what is shown on the obliques in tspine

A

-spine zygapophyseal joints
shown on obliques

19
Q

what is the patients position for lateral tspine

A

Patient position
Recumbent or upright

Left lateral minimizes heart magnification and overlapping of heart on spine

20
Q

why would you do a left lateral tspine

A

Left lateral minimizes heart magnification and overlapping of heart on spine

21
Q

part position for lateral tspine

A

Part position
If recumbent, flex hips and knees for comfort

Superimpose hips and knees for true lateral position

Long axis of vertebral column aligned horizontal
Firm support for head and lower portion, if needed

Adjust arms to right angle from body

22
Q

CR for lateral tspine

A

Directed perpendicular to the IR at T7, if spine is horizontal
Enters patient at T7 (inferior angles of scapulae)

23
Q

if spine is not horizontal for lateral tspine what should the degree of angulation be

A

angle cr 10 to 15 degrees cephalic

24
Q

breathing for lateral tspine

A

3-5 second breathing technique

25
Q

in the pa oblique tspine what is being best demonstrated

A

zygapophyseal joints: LAO position. Arrow indicates articulation that is closest to IR.

26
Q

in the ap oblique tspine what is being best demonstrated

A

Recumbent AP oblique thoracic zygapophyseal joints: RPO position. Arrow indicates articulation that is farthest from IR.

27
Q

what is the SID for AP thoracic spine

A

40 inches

28
Q

what is the recommended breathing for the AP thoracic spine

A

Respiration suspended at end of expiration or use shallow breathing

29
Q

what is the SID for the lateral thoracic spine

A

40 inches

30
Q

what is the recommended breathing for the lateral thoracic spine

A

Make exposure with patient breathing normally or respiration suspended at end of expiration