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Quick Spine Review
C, T, L criteria/projections
Question | Answer |
---|---|
Angulation for AP Axial C Spine? | 15-20 degrees cephelad |
SID for AP Axial C Spine? | 40 inches |
SID for AP Axial Obl C Spine? | 60-72 inches |
SID for Lateral C Spine? | 72 inches |
Central Ray enters where for C Spine(s)? | C4 |
Structures demonstrated on on AP axial C spine? | Open intervertebral disks, spinous processes center on vertebral bodies |
Structures demonstrated on Lateral C Spine? | Zygopophyseal Joints, open intervertebral disks, spinous process in profile. |
Structures demonstrated on AP Axial Obl. C Spine? | Intervertebral Foramina |
Best demonstrates zygopophyseal joints of the C Spine? | True Lateral Projection |
Best demonstrates intervertebral foramina of C Spine? | 45 degree Olbique |
Centering point for AP T Spine? | Half way in between jugular notch and xiphoid process (T7) |
If PT is supine, what angulation would you use if it was a male with broad shoulders for T spine Lateral? | 10-15 degrees cephalad |
Breathing Instructions for Lateral T spine? | Breathing Technique or suspend after expiration. |
True or False? AP Axial Obl shows structures closest to IR. | False. AP Axial Obl shows structures furthest from IR (side that is away from IR for example a PT in RPO would demonstrate left side joint structures) |
True or False? PA Axial C Spine shows structures closest to IR. | True. PA puts structures closer to IR for example PT in RAO, shows joint structures on the right side or side closest to IR. |
Central ray enters which point for AP L spine projection? | 1 1/2 inches above crest (for L spine only) OR enters at the crest for L Spine AND Sacrum. |
Which projection best shows intervertebral foramina of the L spine? | Lateral L spine projection |
Which projection best shows the zygopophyseal joints of the L Spine? | 30-60 degrees AP Oblique |
Projection that best displays zygopophyseal joints of the T spine? | 70 degrees AP Obl (20 degrees from true lateral) |
What characteristics of the Cervical vertebrae differ from T, or L vertebrae? | Bifid spinous processes |
Characteristics of the Thoracic vertebrae that differ from C or L vertebrae? | Costal Facets and Demi facts (for articulations with the ribs) |
Characteristics of the Lumbar vertebrae that differ from C or T vertebrae? | Has Accessory Process (on the back of each transverse process) and a Mamillary process (on the back of each superior articular process) |
How many "True" Vertebrae are there? How many "False"? | 24 'True' Vertebrae (movable) 2 'False' or Fused Vertebra |
How many vertebrae are present in early life? | 33 |
What are the 'primary' curvatures of the spine? | Thoracic and Pelvic (present at time of birth) |
What are the 'secondary' curvatures of the spine? | (Develop after birth)Cervical (3-4+ mos when child behinds to hold its head/sit) and Lumar 1-2 yrs when child starts to walk. |
Curvatures of the spine? | Lordotic (Cervical and Lumbar)Convex anteriorly Kyphotic (Thoracic and Pelvic)Concave anteriorly |
What is Lordosis? | Increase in the concavity of the Lumbar Spine |
What is Scoliosis? | Increased lateral curvature of the spine. |
What is Kyphosis? | Increased convexity of the Thoracic spine (humpback) |
Three functions of the Vertebrae? | 1- Encloses and protects the spinal column 2- Supports Head and Truck 3- Provides attachment for muscles |
When a disk ruptures or protrudes into the vertebral canal imping on a spinal nerve: Its called? | HNP Herniated Nucleus Pulposus or "Slipped Disk" |
The outer, fibrocartilaginous part of the "disk" is called...? | Anulus Fibrosus |
The centeral mass of soft, pulpy, semigelatinous material inside the "disk" is called...? | Nucleus Pulposus |
Which vertebrae is the "Dens" located on? | C2 the Axis |
Which projection shows the dens through the foramen magnum? | The Fuch's method |
SID for Ap Open Mouth c1-c2 (Odontoid) Projection? | 30inches |
True or False? For AP Open Mouth, line up the lower edge of upper incisors to the mastoid tips (Occlusal plane/base of skull)- perpendicular to the IR. | True. |
What is the purpose of using a breathing technique for Lateral T Spine? | To blur out ribs and lung shadows. |
Which projection of the C Spine instructs you to "phonate ah"? | AP Open mouth; helps depress tongue to the floor of the mouth, and does not obstruct anatomy. |
Centering point for AP Oblique L spine? | Center at 2inches medial to the ASIS and 1-1 1/2 inches above the Iliac Crest. |
If PT's spine can not be horizontal for a Lateral L spine, what do you do? | Angle the central ray 5 degrees (male) or 8 degrees (female) caudad- due to the width of the pelvis. |
Centering point for the Lumbosacral junction or SPOT (L5-S1)? | 2 inches posterior to the ASIS; 1 1/2 inches inferior to the Iliac Crest. |
Centering point for AP Sacrum? | 15 degrees cephelad; 2 inches superior to the pubic symphysis |
Centering and angulation for AP SI joints? AP Oblique SI joints? | AP- 30-35 degrees cephalad 1 1/2inches above pubic symphysis. Oblique- 0 degrees. Rotate PT 25-30 degrees; 1 inch medial to elevated ASIS. (shows si joint furthest from IR) |
Centering/Angulation for AP coccyx? Lateral? | AP- 2 inches superior to pubic symphysis; 10 degrees caudad Lateral- 0 degrees; 3 1/2 inches posterior and 2 inches inferior to the ASIS |
Centering for Lateral Sacrum? | 0 degrees. 3 1/2 inches posterior to ASIS. |