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Lumbosacral Spine & Entire Spine -Pre Ect Work Up

DSPINEL2-3V

LUMBOSACRAL SPINE

ROUTINE: AP, Lateral, and lateral cone down of L-5/S-1 joint.

Peds Routine: No spot film on children under 16 years of age.

DISTANCE: 40”

BUCKY: YES

FOCAL SPOT: Large

IMAGING PLATE: 14x17 CR cassettes-8x10 for Spot

CENTRAL RAY:

  • AP and Lateral: Perpendicular entering the midline at the level of 1 1/2” above the crest.
  • L-5/S-1 Spot: 5-7° caudal angle need entering at a point 1 1/2” inferior of the crest and 1 1/2” posterior the ASIS.

HELPFUL POSITIONING:

  • Lateral: Leave collimators open on all laterals done on patients age 40 or above to demonstrate any possibility of calcified abdominal aorta.
  • Obliques: Taken bilaterally. Done AP. Roll patient 45°. Label side closest to the film. This demonstrates apophyseal joint of that side and SI joint of opposite side.
  • Trauma: Cross-table lateral may be needed in event of trauma.

Updated 8/5/2007


DSPINEENT6V

ENTIRE SPINE-PRE ECT WORK UP

ROUTINE: AP and Lateral Cervical, Thoracic, and Lumbar Spine—no Spot films

DISTANCE: 40”

BUCKY: YES

FOCAL SPOT: Large

IMAGING PLATE: Use appropriate size CR cassettes

CENTRAL RAY: See each separate exam.

Updated 9/21/1999

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