L-spine Flashcards

1
Q

Lumbar spine has what curve

A

Secondary curve, Lordotic curve, Convex

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2
Q

Pelvic has what curve

A

Primary curve, Kyphotic curve, Concave

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3
Q

What is inferior to the sacrum

A

Coccyx

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4
Q

Number of lumbar vertebrae

A

Five

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5
Q

Articulates with both ilia

A

Sacrum

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6
Q

Abnormally increased concavity of the spine

A

Lordosis

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7
Q

Lateral deviation of the spine with possible vertebral rotation

A

Scoliosis

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8
Q

Failure of the posterior encasement of the spinal cord to close

A

Spina Bifida

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9
Q

Breaking down of vertebra

A

Spondylolysis

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10
Q

Forward displacement of a vertebra over a lower vertebra, usually L5-S1

A

Spondylolisthesis

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11
Q

Process extending laterally and posteriorly from the body

A

Pedicles

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12
Q

Process extending posteriorly from the junction of both laminae

A

Spinous Process

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13
Q

Process extending laterally from the pedicle-laminae junction

A

Transverse Process

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14
Q

Articular processes

A

Zygapophyses

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15
Q

Solid anterior part of a vertebra

A

Body

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16
Q

Connects the transverse process with the spinous process

A

Laminae

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17
Q

Functions of the vertebral column

A

Protects spinal cord, support for the trunk and skull, attachment for ribs

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18
Q

How do zygapophyseal articulations of the lumbar vertebra open

A

30-50 degrees

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19
Q

How do lumbar intervertebral foramina open

A

90 degrees

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20
Q

How many degrees do the SI joints open

A

25-30 degrees

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21
Q

Why should patint empty bladder fo AP L-spine

A

Urine may produce an unwanted shadow or create secondary radiation

22
Q

What SID is recommended for L-spine

A

48’’ to reduce distortion or open joint spaces

23
Q

Why should patient flex knees

A

To reduce lordotic curve and to prevent rotation

24
Q

Central ray for AP/Lateral L-spine

A

iliac crest (L4)

25
How much of the vertebral column should be shown on AP image
Lower thoracic to sacrum
26
What body plane should be centered to midline of table
Midcoronal
27
What brething technique should be used
Stop breathing after expiration
28
Central ray should be directed
Perpendicular to table
29
What lumbar anatomy should be demonstrated with the lateral L-spine
Intervertebral foramina
30
Where is the central ray for lumbosacral located
1 1'2 inferior to iliac crest, 2 inches posterior
31
What is demonstrated when the patient is rotated with left side elevated
Lumbar zygapophyseal aritculations of the right side
32
What is demonstrated when the patient is LPO
Left zygapophyseal joints
33
What does the "Scottie dog" demonstrate
Zygapophyseal joints
34
The eye of the "Scottie dog" demonstrates what
The pedicle of the side closer to the IR
35
Why is PA projection not preferred
AP places coccyx closer to IR
36
How do zygapophyseal joints open in lumbar vertebra
30-60 degrees posteriorly
37
What parts of the sacrum for the joints with the ilia of the pelvis
Auriular surfaces
38
Why is 14 by 17 collimated field recommended
To visualize liver, kidneys, spleen, and psoas muscles
39
What plane should be centered for AP projection
Midsagittal
40
What plane should be centered for lateral projection
Midcoronal
41
What projection best demonstrates intervertebral foramina
Lateral
42
What projection best demonstrates the zygapophyseal joints
AP oblique
43
RPO demonstrates
right zygapophyseal joints
44
If the pedical was quite anterior and the zygapophyseal joints were not well demonstrated then
The patient was not rotated enough
45
WHat projection demonstrates the "Scottie dog'
Oblique Projection
46
What projection requires MSP positioned parallel to IR
Lateral
47
What projection best demonstrates the left SI joint
RPO posiion
48
AP sacrum
15 degrees cephalad
49
AP coccyx
10 degrees caudad
50
Lateral sacrum and coccyx
Central ray perpendicular
51
5 fused segments
Sacrum
52
Why is L-spine different
Large, broad spinous process