4/18/2024 0 Comments Cervical spine x ray positioningThe elbows are flexed and the arms are at a right angle to the body. Position of patient Lying on the left or right side (lateral recumbent) with the knees and hips flexed for comfort. The image shows the thoracic and lumbar vertebrae in PA projection with the vertebral column in the center of the radiograph. Position of part The patient should be asked to suspend respiration during exposure. The Ferguson method requires the patient to expend some effort to maintain this position without support. A second radiograph is taken with the hip or foot elevated with a block or sandbag under the foot or buttock. The elbows are flexed and the hands rest on the lap in the seated position. The arms hang by the side of the body in the standing position. The midsagittal plane of the body should be aligned to the midline of the grid. The IR should be adjusted to include about 1 inch of the iliac crests. ![]() Position of patient Standing or seated in front a vertical grid. This is a scoliosis series that is used to distinguish a primary deforming curve from a compensatory curve. Purpose and Structures Shown An alternate view of the lumbar spine in PA projection to protect radiosensitive organs from exposure. Video Credit : Vien Chunggia Lumbar Spine PA Ferguson Method The patient should be asked to stop breathing when the exposure is taken. Position of part The patient’s knees are bent to ensure the back is flat on the table. In trauma patients, a lumbar spine X-ray is done in the AP or PA position with minimal movement of the patient. Injured patients should NOT be turned over. ![]() Purpose and Structures Shown A basic view of the lumbar spine. On lateral projections, the intervertebral disc spaces and intervertebral foramen as well as the superior and inferior articular processes should be visible along with the vertebral bodies and spinous processes. Radiologists consider a lumbar spine radiographic film of good quality when it demonstrates the lower ribs, lumbar vertebral bodies, transverse processes, pedicles, spinous processes, sacrum, and sacroiliac joints. This article discusses radiographic positioning of the lumbar spine for the Radiologic Technologist (X-Ray Tech).
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