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Lumbar Spine. Sacrum And coccyx. Views. AP Lateral Lateral Spot AP sacrum AP coccyx Lateral sacrum and coccyx. AP L-Spine. 14 x 17 lengthwise Marker 80 @ 15 Measures 17 Expiration Shielding . AP Positioning. Patient supine on table Patients midline with midline of table

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lumbar spine

Lumbar Spine

Sacrum And coccyx

views
Views
  • AP
  • Lateral
  • Lateral Spot
  • AP sacrum
  • AP coccyx
  • Lateral sacrum and coccyx
ap l spine
AP L-Spine
  • 14 x 17 lengthwise
  • Marker
  • 80 @ 15
  • Measures 17
  • Expiration
  • Shielding
ap positioning
AP Positioning
  • Patient supine on table
  • Patients midline with midline of table
  • Knee flexed (optional)
  • Arms at side or up out of the way
  • No rotation
  • Collimate on lateral borders of spine
seen on radiograph
Seen on Radiograph
  • Entire Lumbar spine
  • Intervertebral joint spaces
  • Spinous and transverse processes
  • SI joints
  • Sacrum
lateral lumbar
Lateral Lumbar
  • 14 x17 lengthwise
  • Marker
  • 90 @ 50
  • Expiration
lateral lumbar positioning
Lateral Lumbar Positioning
  • Patient rolled up on left side
  • Knees flexed and on top of each other
  • Align mid-coronal plane to mid-line of table
  • True lateral position with no rotation
  • Scapula and hips straight
seen on film
Seen on film
  • Intervertebral foramina
  • L1-L4
  • L4-S1 Junction
  • Spinous processes
slide11
Spot
  • 8 x10 lengthwise
  • 100 @ 50
  • Marker
  • Measures 31
  • Hold breath
  • Collimate to area of interest
spot positioning
Spot Positioning
  • Same as the lateral
  • You do not have to move patient
  • You angle your tube
slide13

CR is angled 5-10 degrees caudad

SID 40

1 ½ inches below crest

seen on film14
Seen on Film
  • An open L4-L5 space
  • L5-S1
sacrum and coccyx
Sacrum and Coccyx
  • 3 views, 2 AP’S & lateral
  • 10 x 12 lengthwise
  • Shield on Males
  • Marker
  • Expiration
  • Collimate to area of interest
  • 80@15 for AP’s
  • 90@55 for lateral
ap sacrum
AP Sacrum
  • Patient supine
  • Align midline of body to midline of table
  • Patient flat with no rotation
  • Patient in the same position as AP L-spine
slide17

CR angled 15 degrees cephlald

SID 40

Midway between ASIS and Symphsis Pubis

seen on film18
Seen on Film
  • AP projection of sacrum
  • SI joints
  • L5-S1 Junction
ap coccyx
AP Coccyx
  • Patient in same positioning
  • Angle the other way
slide20

CR angled 10 degrees caudad

SID 40

2 inches above Symphsis Pubis

seen on film21
Seen on Film
  • Coccyx free of imposition
lateral sacrum and coccyx
Lateral Sacrum and coccyx
  • Position patient on side like the Lateral L-spine
  • Align sacrum and coccyx to midline of table
slide23

CR Perpendicular to IR

SID 40

3 inches posterior to ASIS

seen on film24
Seen on Film
  • Lateral view of sacrum and coccyx
  • L5-S1 joint