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How to position the patient for a Lateral L5-S1 projection?
lateral recumbent
hips and knees flexed and superimposed
with elbows flexed, place arms at right angle to body
support lower spine in horizontal position in same manner as for lateral projection
Where is the central ray placed for a Lateral L5-S1 projection?
when spine is horizontal: perpendicular to a coronal plane 2” posterior to anterior superior iliac spine (ASIS) and 1½” inferior to iliac crest
if not horizontal, angle 5 degrees caudad for males, 8 degrees caudad for females
What is the collimation field for a Lateral L5-S1 projection?
radiation field 6 Ă— 8 inches
What is the Evaluation Criteria for a Lateral L5-S1 projection?
lumbosacral joint centered
open lumbosacral intervertebral disk space
crests of the ilia closely superimposing each other when the x-ray beam is not angled
The Lateral Lumbar L5-S1 projection primarily visualizes the:
L5-S1 vertebral bodies
intervertebral disk spaces (open)