1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

104
1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175

Transcript of 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

Page 1: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

1

LUMBAR SPINESACRUM COCCYX

SI JOINTSSCOLIOSIS

RT 175

Page 2: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

2

LUMBAR SPINEAP,

AP Axial (Ferguson)

Both Obliques

Lateral

L5-S1 Spot

Page 3: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

3

Page 4: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

4

Page 5: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

5

Page 6: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

6

Page 7: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

7

AP

Page 8: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

8

Page 9: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

9

Page 10: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

10

Page 11: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

11

Page 12: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

12

Page 13: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

13

Page 14: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

14 AP NO FLEX LEGS FLEX PA

Page 15: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

15 collimation

Page 16: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

16

AP Axial Ferguson

Page 17: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

17

FERGUSON METHOD

Page 18: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

18

Page 19: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

19

Flex legs

shield

Page 20: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

20

OBLIQUES

RPO & LPO

Page 21: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

21

Page 22: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

22

Page 23: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

23

Page 24: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

24

Page 25: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

25

Page 26: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

26

Page 27: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

27

Page 28: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

28

Page 29: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

29 30 – 50 degrees

Page 30: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

30

L5 –S1 30 degrees

Page 31: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

31

LUMBAR SPINE

LAT

Page 32: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

32

Page 33: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

33

Page 34: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

34

Page 35: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

35

Page 36: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

36X-TABLE LATERAL

Page 37: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

37

Page 38: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

38

Page 39: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

39

Page 40: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

40

Page 41: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

41

LUMBAR SPINEL5-S1 SPOT

Page 42: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

42

Page 43: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

43

Page 44: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

44

Page 45: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

45

Page 46: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

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)

Page 47: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

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.

Page 48: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

48

Page 49: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

49

Flexion / extenison

Page 50: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

50

Page 51: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

51

Page 52: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

52

SACRUM COCCYX

AP AXIAL

SACRUM – CEPAHLIC

COCCYX – CAUDAL

LATERAL (s)

Page 53: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

53

Page 54: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

54

Page 55: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

55

Page 56: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

56

Page 57: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

57

Flex legs

shield

Page 58: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

58

Page 59: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

59

Page 60: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

60

Page 61: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

61

Page 62: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

62

Page 63: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

63

Page 64: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

64

Page 65: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

65

Page 66: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

66

Page 67: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

67

Page 68: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

68

Page 69: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

69

Page 70: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

70

Page 71: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

71

SACRAL ILIAC JOINTS

AP – AXIAL

BOTH OBLIQUES

(SIDE UP)

Page 72: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

72

Page 73: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

73

Page 74: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

74

“HIBBS” METHOD

Page 75: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

75

Unilateral (usually bilateral)

Page 76: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

76

Page 77: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

77

PA - With no rotation of patient

Page 78: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

78

Page 79: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

79

Page 80: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

80

Page 81: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

81

SIDE UP(SIDE UP)

SIDE DOWNSIDE UP

Page 82: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

82 SPINE – POSITIONS FOR BEST SEEN?

• INTERVERTEBRAL FORAMEN

• ZYGOAPOPHYSEAL ARTICUALTIONS

• C.SP

• T.SP

• L.SP

• SI joints

Page 83: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

83

Scoliosis series

Page 84: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

84

Page 85: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

85

Page 86: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

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

Page 87: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

87

Page 88: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

88

Page 89: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

89

Page 90: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

90

Page 91: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

91

SHOULD INCLUDE

TO ACETABULUM

Page 92: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

92

Page 93: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

93

Page 94: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

94

Page 95: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

95

Page 96: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

96

Page 97: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

97

72 – 80 “ SID

Page 98: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

98

Page 99: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

99

Page 100: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

100

Page 101: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

101

Page 102: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

102

• Scoliosis cassette

• 14x 36”

• Different speed screens

• Top to bottom

Page 103: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

103

Remove bucky tray

Page 104: 1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT 175.

104

MORE IMAGE REVIEWWEDNESDAY