1

LUMBAR SPINESACRUM COCCYX

SI JOINTSSCOLIOSIS

RT 175

2

LUMBAR SPINEAP,

AP Axial (Ferguson)

Both Obliques

Lateral

L5-S1 Spot

3

4

5

6

7

AP

8

9

10

11

12

13

14 AP NO FLEX LEGS FLEX PA

15 collimation

16

AP Axial Ferguson

17

FERGUSON METHOD

18

19

Flex legs

shield

20

OBLIQUES

RPO & LPO

21

22

23

24

25

26

27

28

29 30 – 50 degrees

30

L5 –S1 30 degrees

31

LUMBAR SPINE

LAT

32

33

34

35

36X-TABLE LATERAL

37

38

39

40

41

LUMBAR SPINEL5-S1 SPOT

42

43

44

45

46 OTHER POSTIONSLECTURE ONLY

• What projections can be taken to determine the range of motion of the spine at the level of the spinal fusion?

• FLEXION / EXTENSION

• BENDING (LATERAL)

47

bending

•These projections are functional studies of the lumbar spine to determine the range of motion of the spine at the point of spinal fusion.• Following spinal fusion surgery, the orthopedic physician or neurosurgeon may order a study to evaluate the flexibility of the spine.•These projections will require the patient to assume different positions to determine how much flexibility of the spine has returned.•Early signs of scoliosis and herniated intervertebral disk or HNP can be evaluated with these projections.

48

49

Flexion / extenison

50

51

52

SACRUM COCCYX

AP AXIAL

SACRUM – CEPAHLIC

COCCYX – CAUDAL

LATERAL (s)

53

54

55

56

57

Flex legs

shield

58

59

60

61

62

63

64

65

66

67

68

69

70

71

SACRAL ILIAC JOINTS

AP – AXIAL

BOTH OBLIQUES

(SIDE UP)

72

73

74

“HIBBS” METHOD

75

Unilateral (usually bilateral)

76

77

PA - With no rotation of patient

78

79

80

81

SIDE UP(SIDE UP)

SIDE DOWNSIDE UP

82 SPINE – POSITIONS FOR BEST SEEN?

• INTERVERTEBRAL FORAMEN

• ZYGOAPOPHYSEAL ARTICUALTIONS

• C.SP

• T.SP

• L.SP

• SI joints

83

Scoliosis series

84

85

86 LONG SID 72” +14 X 36” GRID CASSETTE

87

88

89

90

91

SHOULD INCLUDE

TO ACETABULUM

92

93

94

95

96

97

72 – 80 “ SID

98

99

100

101

102

• Scoliosis cassette

• 14x 36”

• Different speed screens

• Top to bottom

103

Remove bucky tray

104

MORE IMAGE REVIEWWEDNESDAY