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RAD 106
Lumbar Spine
88
Other
Graduate
03/12/2011

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Cards

Term
For the Lateral Sacrum and Coccyx what kind of CR angle is required?
Definition
Perpendicular
Term
What is the CR angle and where do you center for AP sacrum?
Definition
CR 15* cephalad, to enter 2" superior to pubic symphysis. (Technologist may have to angle 20* cephalad for patients w greater posterior curve or tilt of the sacrum and pelvis)
Term
What is the CR angle for the coccyx and where do you center?
Definition
CR 10* caudad, to enter 2" superior to pubic symphysis. (Technologist may have to angle 15* caudad if greater anterior curve of the coccyx)
Term
Which body plane is aligned to the midline of the table for the AP Axial Coccyx and AP Axial Sacrum?
Definition
Midsagittal
Term
If the symphysis pubis is superimposing the coccyx, what error has occurred?
Definition
Not enough angle on the tube; not angled caudad enough
Term
Lead mat/masking does what for a lateral image?
Definition
reduces the amount of scatter that reaches the IR
Term
Where do you center for the lateral sacrum?
Definition
At the level of the ASIS and 3 1/2" posterior
Term
Where do you center for the Lateral Coccyx?
Definition
4" posterior to ASIS and 2" distal to ASIS
Term
What images are obtained to access mobility at a spinal fusion site?
Definition
Lateral Positions- Hyperextention and Heperflexion: Spinal Fusion Series
Term
Which method obtains an image with a 2" block on the convex side on the 2nd image to evaluate scoliosis?
Definition
Ferguson Method
Term
Why is it better to do a scoliosis series PA?
Definition
Less gonadal dose and Less breast dose
Term
On the AP oblique projection, are you viewing the zygapophyseal joints closest are farthest away from the IR?
Definition
Closest
Term
What is the anteriorly projecting body process on the sacrum? -- The anterior and superior aspect of the sacrum that forms the posterior wall of the pelvic inlet:
Definition
sacral promontory
Term
Which part of the sacrum articulates with the pelvis to form the SI joints?
Definition
Auricular Surface
Term
Which portion of the sacrum is most posterior?
Definition
Medial sacral crest
Term
The PA oblique projection of the lumbar spine visualizes the zygapophyseal joints that are:
Definition
farthest away
Term
At what angle does the intervertebral foramen sit on the Lumbar vertebrae?
Definition
90*
Term
To view the zygapophyseal joints of the upper Lumbar vertebrae (L1 and L2) what degree of obliquity is required?
Definition
50*
Term
To view the zygapophyseal joints of the lower Lumbar vertebrae (L3 and L5) what degree of obliquity is required?
Definition
30*
Term
The portion of each lamina between the superior and inferior articular process is termed the ______.
Definition
Pars interarticularis
Term
On lateral lumbar spine if the lumbar disk spaces appear closed what should be done?
Definition
Angle 5*-8* caudal
Term
Where do you center for the AP lumbar spine? (smaller IR)
Definition
L3 or 1 1/2" about Iliac Crest
Term
Where do you center for the AP lumbosacral spine? (larger IR)
Definition
center to level of iliac crest (L4-L5 interspace)
Term
Destructive lesions with irregular margins
Definition
Osteolytic
Term
proliferated bony lesions of increased density
Definition
osteoblastic
Term
anterior wedging of vertebrae; loss of body height
Definition
compression fx
Term
What is the CR angle for the AP Axial L5-S1 junction for a male patient?
Definition
30* cephalad
Term
What is the CR angle for the AP Axial L5-S1 junction for a female patient?
Definition
35* cephalad
Term
For the AP and Lateral Lumbar Spine, what is the minimum SID?
Definition
40"
Term
For the AP and Lateral Lumbar Spine, what is the recommended SID?
Definition
48"
Term
Does the sacrum or coccyx require a lower kVp and mAs?
Definition
Coccyx
Term
Along the upper surface of each pedicle is a half-moon shaped area called:
Definition
superior vertebral notch
Term
Along the lower surface of each pedicle is a half-moon shaped area called:
Definition
inferior vertebral notch
Term
When vertebrae are stacked, the superior and inferior vertebral notches line up, and the two half moon shaped areas form a single opening called:
Definition
intervertebral foramina
Term
Which positions allow you to view the Transverse process?
Definition
AP and Obliques
Term
This projects posteriorly at the midline junction of the two laminae:
Definition
Spinous process
Term
How many SETS of sacral foramina are there?
Definition
4
Term
How many posterior sacral foramina are their?
Definition
8
Term
What forms a bridge between the transverse processes, lateral masses, and spinous process?
Definition
Laminae
Term
How many adult vertebrae are there?
Definition
26
Term
Typical vertebra is made up of:
Definition
Vertebral Arch and Body
Term
The Vertebral Arch of the Lumbar vertebrae has how many processes?
Definition
7
Term
To see the entire Mortise joint of the ankle how much rotation is required?
Definition
15*-20* rotation
Term
To visualize the cuboid which projection is required?
Definition
medial oblique
Term
For an AP oblique projection of the toes, what kind of CR angle is required?
Definition
Perpendicular
Term
When performing a lumbar spine radiograph - what position/projection best demonstrates the intervertebral foramina?
Definition
Lateral
Term
When performing a lumbar spine radiograph - what position/projection best demonstrates the Transverse process?
Definition
AP and obliques
Term
When performing a lumbar spine radiograph - what position/projection best demonstrates the Zygapophyseal Jts
Definition
obliques
Term
What makes up the ear of the scottie dog?
Definition
superior articular process
Term
What makes up the nose of the scottie dog?
Definition
Transverse process
Term
What makes up the eye of the scottie dog?
Definition
Pedicle
Term
What makes up the neck of the scottie dog?
Definition
Pars interarticularis
Term
What makes up the leg of the scottie dog?
Definition
Inferior articular process
Term
"open" posterior vertebra, exposure of part of the spinal cord. failure of the posterior encasement of the spinal cord to close
Definition
spina bifida
Term
forward displacement of a vertebra over a lower vertebra, usually L5-S1. Forward slipping of one vertebra in relation to another.
Definition
Spondylolisthesis
Term
defect in the pars interacticularis ("scottie dog" appearing to wear a collar). Breaking down of a vertebra
Definition
Spondylolysis
Term
What is another term for the sarcal horns?
Definition
Cornua
Term
Formal term for "tail bone"
Definition
coccyx
Term
The name for the upper broad aspect of the coccyx:
Definition
Base
Term
Fx of the vertebral body caused by hyperflexion force
Definition
Chance Fx
Term
Most common at L4-5 level and may result in sciatica
Definition
Herniated Nucleus Pulposus
Term
What can be evaluated to determine whether rotation is present on AP Lumbar spine?
Definition
SI joints are equidistant from the spine
R and L transverse processes are equal in length
Term
Which positioning error has occurred if the pedicle of the scotty dog is projected too far posterior on the oblique lumbar spine?
Definition
overrotation
Term
Which position or projection of the L-spine best demonstrates a possible compression fx?
Definition
AP, Lateral L-spine
Term
how should the spine of a patient w/ scoliosis be positioned for a lateral position of the L-spine?
Definition
place the sag, or convexity, of the spine down
Term
which side should be elevated for the second exposure for the ferguson scoliosis series?
Definition
convex side of spine
Term
A radiograph of an LPO projection of the L-spine reveals that the downside pedicles and zygapophyseal joints are projected over the anterior portion of the vertebral bodies. Which specific positioning error is present?
Definition
Underrotation - insufficient rotation of the spine should be to midvertebral bodies
Term
A radiograph of an AP axial projection of the coccyx reveals that the distal tip is superimposted over the sym pub. How do you fix?
Definition
An increase in CR angle is required to separate the coccyx from the sym pub.
Term
Oblique position of the l-spine reveals that the downside pedicle and zyg. jts. are posterior in relation to the vertebral body. how do you fix?
Definition
decrease rotation of the body and spine
Term
Which specific projection of the L-spine series will best demonstrate spondylolysis?
Definition
Obliques
Term
Compared to C and T-spines, the lumbar spinous processes are:
Definition
Larger and more blunt
Term
where is the pars interarticularis found?
Definition
between the superior and inferior articular processes
Term
what are the characteristics of the vertebra that identify it as a Lumbar vertebra rather than Thoracic?
Definition
Large vertebral body
large, blunt spinous process
Term
describe the body build that may require a CR angle to open the intervertebral jt spaces w a lateral projection of the L-spine, even if the patient has some support under the waist
Definition
patient w/ wide pelvis and narrow thorax
Term
a radiograph of an LPO projection of the lumbar spine reveals that the downside pedicles are projected toward the posterior aspect of the vertebral bodies. what must be done to correct this error during the repeat?
Definition
decrease rotation of the spine
Term
AP of the sacrum shows that the sacrum is forshortented and the foramina are not open. What positioning error led to this problem?
Definition
insufficient cephalad CR angulation or the CR was angled in the wrong direction
Term
One fourth of the length of the vertebral column is made up of the:
Definition
intervertebral disks
Term
On average range of the angle of the L4-S1 zygapophyseal joints are:
Definition
0-30 degrees
Term
On average range of the angle of the L1-L3 zygapophyseal joints are:
Definition
45-60 degrees
Term
A left lateral lumbar image w/ poor positioning demonstrates rotation. The posterior ribs that are most magnified and projected inferiorly are rotated anteriorly. How should the patient be repositioned for an optimal image to be obtained?
Definition
Rotate the patients right side posteriorly
Term
_______ is formed by the fused spinous processed of the sacral vertebrae
Definition
Median sacral crest
Term
Zygapophyseal Joints are classified as:
Definition
Synovial/Diathrodial (Plane/gliding)
Term
Inververtebral Joints are classified as:
Definition
Cartilaginous (symphysis)/Amphiarthrodial (slightly movable)
Term
True of False: Osteoblastic lesions often produce greater bone density than the surrounding structures.
Definition
True
Term
An inflammatory condition that often results in fusion of the intervertebral and costovertebral joints is termed:
Definition
Ankylosing spondylitis
Term
True of False: The sacrum is generally angled more posteriorly in males than in females.
Definition
False
Term
How much rotation of the body is required for an oblique position of the midlumbar spine?
Definition
45*
Term
Which of the following positioning lines helps determine CR angle for a lateral L5-S1 projection?
Definition
Interiliac
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