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LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS

LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS. RT 124 2008-10 WEEK 7. LUMBAR SPINE. AP, AP AXIAL (HIBBS) BOTH OBLIQUES LAT, L5-S1 SPOT. LUMBAR SPINE SERIES SEQUENCE. AP AP AXIAL (HIBBS) BOTH OBLIQUES LAT, L5-S1 SPOT. AP.

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LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS

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  1. LUMBAR SPINESACRUM COCCYXSI JOINTSSCOLIOSIS RT 124 2008-10 WEEK 7

  2. LUMBAR SPINE AP, AP AXIAL (HIBBS) BOTH OBLIQUES LAT, L5-S1 SPOT

  3. LUMBAR SPINE SERIESSEQUENCE AP AP AXIAL (HIBBS) BOTH OBLIQUES LAT, L5-S1 SPOT

  4. AP

  5. AP NO FLEX LEGS FLEX PA

  6. collimation

  7. AP AXIAL HIBBS

  8. “HIBBS” METHOD

  9. Flex legs shield

  10. CRITIQUE • The positioning error suggested is • insufficient CR angulation

  11. OBLIQUES RPO & LPO

  12. A body E transverse process D pedicle O superior articular facet, left P pars interarticularis, left R inferior articular facet, left I apophyseal (interfacetal) joint, left V disk space

  13. 30 – 50 degrees

  14. L5 –S1 30 degrees

  15. The AP and PA oblique projections are helpful in demonstrating spondylolysis. What is the definition of this condition? • Spondylolysis is defined as the breaking down of the vertebra, usually at the pars interarticularis of the lumbar vertebrae. It is an acquired bony defect that may affect one or both sides of the lamina between the articular processes of the vertebrae.

  16. Critique? The positioning error suggested is over-obliquity or excessive rotation of the patient.

  17. Zygapophyseal joints and pedicles are posterior to the vertebral body and indicate over-obliquity

  18. AP OBIQUE – CRITIQUE • The positioning error suggested is insufficient obliquity or rotation of the patient

  19. LUMBAR SPINE LAT

  20. More on this at the end of the slides

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