chapter 9/19 sacrum/coccyx. sacrum 5 fused vertebrae 4 sets of ________________ –pelvic (anterior)...
TRANSCRIPT
Sacrum
• _________ – Wings of sacrum
• Superior articulating process– ______________formed with 5th l-spine
vertebra inferior articulating process
Sacrum
• ________________– Fused spinous processes
• _______________– Joint surface of SI joint
• ______________– Inferior articulating process
AP Sacrum
• Pt supine
• _____________tube angle
• Between _________________
• CR mid sagittal and _________to ASIS
Lateral Sacrum
• Pt in true lateral
• Flex knees
• CR at the __________and __________to posterior sacral surface
• Or _____________to ASIS
AP Coccyx
• Pt supine
• ___________angle
• _____________to Symphysis Pubis
• CR Mid sagittal and ______________
Lateral Coccyx
• Pt in true lateral• Knees flexed• ______________to ASIS• ______________to ASIS• Collimate Close all 4 sides
Myelogram
• Study to look at spinal cord and nerves root branches
• Indications – _____________– ____________________
Myelogram
• Requires an injection into the ________________
• Menenges– Dura Mater– _________– Pia Mater
Contraindications• Sensitivity to Iodine
• Blood in ___________
• Arachnoiditis
• Increased _____________
• Recent _________
Equipment
• Myelogram tray
• X-ray table that can ______________– Foot board– Shoulder holder
• X-table cassette holder
Injection
• Cervical– _______________bone
• Injected _____________to avoid excessive mixing of contrast and _____
Lumbar injection
• Generally ___________– Spinal cord branches and not solid
• Pt prone– Pillow ____________to open disc spaces
• Lt Lateral with spine __________• Sterile
Cervical Injection
• Done if Lumbar is contraindicated
• Pt sitting ________ with neck _________
• Or pt __________ with neck flexed
• Contrast should not enter _________– ___________the neck
What happens
• A ___________is done first– Evaluates appearance of CSF (blood present)
• Contrast injected– Make sure it is __________use
What Happens
• Needle is removed
• Pt is tilted _________________________– By gravity contrast is spread through the
spinal canal
Imaging • __________ has taken over
• Cervical – X-Table, X-table swimmers
• Thoracic– Lateral, X-Table, AP/PA
• Lumbar– Semierect X-Table, X-table lateral, AP/PA,
Obliques
Post Exam Care
• Bandage the injection site
• Place pt semi erect _______________.
• Restricted to the bed.