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Feb 9 2011, 10:50 PM EST
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Change: The spinal facet joints vary in their orientation both with age and between anatomical regions. Some radiographers with perform lateral lumbar spine with the patients
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Feb 8 2010, 6:48 AM EST
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Change: Moved by AndyC Feb 8 2010, 6:48 AM EST
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Nov 10 2009, 7:37 PM EST
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Change: ientifyidentify the edfectsdefects as characteristically acute or otherwise.Positioning TechniqueOblique lumbar spine radiography can be performed PA or AP. The advantage of the PA approach is ease of
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Nov 10 2009, 7:31 PM EST
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Change: John Harris notes (The Radiology of Emergency Medicine, 3rd Ed, 1993, p 273, Williams and Wilkins) "The etiology of spondylolysis is overwhelmingly congenital, although sporadic reports of traumatic lumbar spondylolysis appear in the literature". CT imaging will usually ientify the edfects as characteristically acute or otherwise.Positioning TechniqueOblique
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Aug 13 2009, 12:50 AM EDT
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Change: axial CT image (left) shows the pars defects were shown to be well corticated suggesting that they arewere old and probably congenital.Case 2This 24 year old female patient presented to the Emergency Department following acute
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Jul 20 2009, 2:26 AM EDT
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Change: all of the entire lumbar vertebra, don't angle the beam. For imaging the lower lumbar vertebra (L4/5, L5/S1) angle to match the lumbar lordosisalso depends on the patient's lumbar lordosisWhat exposure technique should be employed? You may need a considerable increase in
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Jun 24 2009, 8:41 AM EDT
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Change: The lateral lumbar spine demonstrates pars interarticularis defects at L3 (film/screen technique circa 1997)The coned LPO oblique view demonstrates a pars interarticularis defect on the rightSimilarly, the left oblique demonstrates a pars interarticularis defect.CommentThe pars defects in this case were considered to be non-acute. ...back
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Jun 24 2009, 7:39 AM EDT
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Change: This is a lateral lumbar spine using a long exposure time and long ffd on film/screen . In addition, an aluminium wedge filter has been placed to reduce the exposure to all but L5 and lower. There is a defect of the L5 pars interarticularis- probably bilateral (white arrow).The
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Jun 24 2009, 6:28 AM EDT
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Change: Note that the centre point is not the spinous process! (see below)Centre Point for PA TechiqueIncorrectCorrrectThis is a trap that you might fall into the first time you attempt an oblique
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Mar 6 2009, 5:33 AM EST
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Change: both. It is important to note that a patient who has a defect of the pars interarticularis (scotty's neck) may not have an acute injury. The defect may be congenital.http://www.gentili.net/signs/20.htmhttp://www.gentili.net/signs/20.htmnormal Scotty'No neck' Scotty at L5 (spondylolysis and spondylolisthesis)...back to the Applied Radiography home page
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Mar 5 2009, 6:52 AM EST
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Change: (match lumbar lordosis to divergent rays)2. Image the lower 3 lumbar discs only and angle the beam to suit (cephalic angle for AP technique and caudal angle for PA technique)This is a coned AP oblique projection of the lower
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Mar 5 2009, 3:56 AM EST
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Change: Of course, imaging of the intervertebral discs is not important with oblique views of the lumbar spine. However, if the lumbar intervertebral discs are not imaged in profile, imaging of the posterior elements of the spine will also be compromised.http://www.medscape.com/content/1999/00/40/85/408509/art-mos4931.solo.fig4.jpgThese images demonstrate the tendency
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Mar 4 2009, 6:50 AM EST
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Change: vertebravertebrae in the oblique projection. There are two strategies that might help avoid this problem.1. Use a PA technique2. Image the lower 3 lumbar discs only and angle the beam to suit (cephalic angle for AP technique and caudal angle for PA technique)This is
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Mar 4 2009, 6:50 AM EST
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Change: http://www.medscape.comhttp://www.medscape.com/content/1999/00/40/85/408509/art-mos4931.solo.fig4.jpgThese images demonstrate the tendency to produce an undistorted view of the central lumbar vertebra in the oblique projection. There are two strategies that might help avoid this problem.1. Use a PA technique2. Image the lower 3 lumbar discs
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Mar 4 2009, 6:48 AM EST
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Change: Angulation of the beam (caudal or cephalic) would be of little benefit given that it would favour some levels and distort others.http://www.medscape.comThese images demonstrate the tendency to produce an undistorted view of the central lumbar vertebra in the oblique projection. There are two strategies
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Mar 4 2009, 6:42 AM EST
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Change: Erect Oblique Lumbar spine TechniqueErect AP Oblique Lumbar SpineErect PA Oblique Lumbar Spinemedinfo.ufl.edu:8050/~rad6190/topics/pdf_of_lectures/Lecture_3_notes.pdf medinfo.ufl.edu:8050/~rad6190/topics/pdf_of_lectures/Lecture_3_notes.pdf Centre Point for PA TechiqueIncorrectCorrrectThis is a trap that you might fall into the first time you
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Mar 4 2009, 6:38 AM EST
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Change: This is a coned AP oblique projection of the lower lumbar vertebra with cephalic angulation. The vertebra are demonstrated with less distortion than using the technique displayed above.Erect AP Oblique Lumbar SpineErect PA Oblique Lumbar Spinemedinfo.ufl.edu:8050/~rad6190/topics/pdf_of_lectures/Lecture_3_notes.pdf medinfo.ufl.edu:8050/~rad6190/topics/pdf_of_lectures/Lecture_3_notes.pdf IncorrectCorrrectThis is a trap
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Mar 4 2009, 6:35 AM EST
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Change: 2. Image the lower 3 lumbar discs only and angle the beam to suit (cephalic angle for AP technique and caudal angle for PA technique)Erect AP Oblique Lumbar SpineErect PA Oblique Lumbar Spinemedinfo.ufl.edu:8050/~rad6190/topics/pdf_of_lectures/Lecture_3_notes.pdf medinfo.ufl.edu:8050/~rad6190/topics/pdf_of_lectures/Lecture_3_notes.pdf IncorrectCorrrectThis is a trap that you
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Mar 4 2009, 6:26 AM EST
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Change: This is a supine lateral cross-table lumbar spine image. The white lines represent the diverging X-ray beam as might occur with an AP view of
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Mar 4 2009, 6:08 AM EST
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Change: scotty's neck is missing, the patient probablymay hashave a fracturetraumatic ofinjury to the pars interarticularisinterarticularis, a congenital defect or both.http://www.gentili.net/signs/20.htmhttp://www.gentili.net/signs/20.htmnormal ScottyNo neck Scotty at L5 (spondylolysis and spondylolisthesis)...back to the Applied Radiography home page
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