Lumbar - ObliqueThis is a featured page

Radiographic Positioning


Adult
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Name of projection Lumbar Spine - Oblique
Area Covered L5 - S1 , zygapophyseal joints (RPO and LPO show downside, RAO and LAO show upside), "scotty dogs" visualised, both right and left obliques are performed
Pathology shown Defects of the pars interaerticularis, spondylolysis
Radiographic Anatomy Lumbar Spine Radiographic Anatomy
IR Size & Orientation 35 x 43cm
Film / Screen Combination Regular
(CR and DR as recommended by manufacturer)
Bucky / Grid Moving or Stationary Grid
Filter No
Exposure 75kVp
40 mAs
FFD / SID 100 cm
Central Ray CR perpendicular to IR
Centre to lower costal margin (L3) 4cm above iliac crest
Collimation Four sides of collimation
collimate to area of interest
Markers RPO and LPO - marker orientation AP
RAO and LAO - marker orientation PA

RPO and LPO shows downside, RAO and LAO shows upside zygapophyseal joints
Shielding Gonadal (check your department's policy guidelines)
Respiration Suspend respiration on expiration
Positioning
  • Patient semi supine on the table for (RPO and LPO) or semiprone (RAO and LAO)
  • Rotate the body 45 to place spinal column directly over midline of table / grid
  • Flex knee for comfort and stability
  • Support lower back and pelvis with radiolucent sponges to maintain the position
  • CR perpendicular to IR
  • Centre to lower costal margin (L3) 4cm above iliac crest
see oblique lumbar spine technique
Critique

Positioning
Area Covered
Collimation
Exposure
Special Notes



AndyC
AndyC
Latest page update: made by AndyC , Jun 19 2011, 4:44 PM EDT (about this update About This Update AndyC Edited by AndyC

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