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Feb 8 2010, 7:31 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 7:31 AM EST
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Feb 2 2010, 7:45 AM EST
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M.J.Fuller
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Change: doiaphragmdiaphragms hashave moved up pushing the lung fields off the AEC. The image is degraded (low contrast) associated with scatter radiation. The exposure was made on expiration.The radiographer has selected a manual exposure with an exposure time
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Feb 2 2010, 6:57 AM EST
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M.J.Fuller
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Change: thoraco lumbarthoraco-lumbar junction only? If the intention is for imaging of the thoraco-lumbar junction, how many thoracic and lumbar vertebravertebrae should be included? If the referring doctor's intention was to have all of the
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Nov 10 2009, 7:17 PM EST
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M.J.Fuller
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Change: The arrowed structures are the ostia of the basivertebral veinsIs the Fracture Old or New?This is a commonly asked question. It can be difficult to determine/impossible to radiographically determine whether a
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Nov 10 2009, 6:08 PM EST
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M.J.Fuller
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Change: In addition, the vertebral anatomy of interest will not suffer from the distortion associated with imaing by the more peripheral oblique rays.Horizontal Ray TechniqueThe horizontal ray lateral technique is commonly employed in patient who are unable
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Nov 10 2009, 6:06 PM EST
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M.J.Fuller
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Change: expiration because the patient's doiaphragm has moved up pushing the lung fields off the AEC. The image is degraded (low contrast) associated with scatter radiation. The exposure was made on expiration.The radiographer has selected a manual exposure with an exposure
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Nov 10 2009, 6:03 PM EST
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M.J.Fuller
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Change: The radiographer has selected a manual exposure with an exposure time of 1.6 seconds. The breathing technique has resulted in blurring (movement unsharpness) of the
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Nov 10 2009, 5:39 PM EST
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M.J.Fuller
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Change: --- under construction---IntroductionWedge fractures of the thoracic and lumbar spine are commonly seen by radiographers. This page considers all aspects of wedge fractures including radiographic techniques for demonstrating them and plain film and CT pathological appearances of wedge fracturesMechanisms of InjuryAn wedge fracture
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Nov 10 2009, 5:39 PM EST
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M.J.Fuller
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Change: compression fractures can be very difficult, if not impossible, to determine acuity radiographically. Radionuclide bone scanning can show a spinal fractre as a 'hot spot' for up to 18 months post injury and is therefore not useful in determining howeveracuity. The determination of wedge fracture
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Nov 10 2009, 5:16 PM EST
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M.J.Fuller
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Change: John H. Harris et al (The Radilogy of Emergency Medicine, 3rd Ed, 1993,p 247, Williams and Wilkins) define the thoracolumbar spine to ïnclude "T12 through
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Nov 10 2009, 7:57 AM EST
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M.J.Fuller
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Change: demonstrated. The arrowed vertebral bodies can be misinterpreted as being compressed/wedged.This is a lateral lumbar spine image on the same patient using an extended FFD. The thoracic intervertebral disc spaces are clearly demonstrated allowing for a improved assessment for wedge fractures.CommentWedge fractures are an
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Nov 10 2009, 5:32 AM EST
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M.J.Fuller
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Change: to have all of the thoracic and lumbar spine imaged or is the intention to image the region of the thoraco lumbar junction only? If the
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Nov 10 2009, 5:25 AM EST
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M.J.Fuller
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Change: "When the question of presence or recent origin of the fracture arises, a radionuclide bone scan may be helpful. Such scans are positive (hot) with
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Nov 10 2009, 5:07 AM EST
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M.J.Fuller
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Change: fracture (white arrow). Conversely, the contour of the anterior cortex of the vertebral body is likely to have undergone bony remodelling and smoothing when the fracture is oldSpinal StripeThe anterior cortex of the vertebral body is likely to
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Nov 10 2009, 4:57 AM EST
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M.J.Fuller
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Change: This is a normal lateral lumbar spine (except for pars defects at L5). Note the slight anterior wedgeing at T11 and T12.Is the Fracture Old or New?This is a commonly asked question. It can be difficult to
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Nov 10 2009, 1:33 AM EST
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M.J.Fuller
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Change: This fracture has sharp bony edges consistent with a recent injury.MRI ScanMRI scans are the most accurate way of determining whether a fracture is old or new.Bone marrow edema will
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Nov 10 2009, 1:25 AM EST
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M.J.Fuller
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Change: It is usually not difficult to establish if a fracture is old or new on CT scanning.MRI ScanMRI scans are the most accurate way of determining whether a fracture is old or new.Bone
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Nov 10 2009, 1:21 AM EST
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M.J.Fuller
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Change: This is an extreme example of what can go wrong when performing lateral horizontal ray lumbar spine radiography. The patient is lying on a special
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Nov 10 2009, 1:13 AM EST
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M.J.Fuller
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Change: These are amongst the questions that the neurosurgeon will want answers to. Erect and Supine Functional ViewsThe stability of the fracture can be assessed with erect and supine lateral views or flexion and extension lateral views.This patient has wedge fractures at L4 and L5.The term
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Nov 10 2009, 12:48 AM EST
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M.J.Fuller
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Change: Same patient axial CT. Retropulsed fragment arrowed.further information Jose Guerra, Jr., M.D. Steven R. Garfin, M.D. and Donald Resnick, M.D. Vertebral Burst Fractures: CTAnalysis of the Retropulsed Fragment” Radiology 1984; 153: 769-772How Much Wedging is normal?"Vertebral body height: In the normal spine
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