POSICIONAMENTO ROTINA COLUNA LOMBAR

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Join the Radiologando Group and learn much more about Radiology: • / @radiologando *Video sponsored by the reference school in technical education Politec. For more information call (81) 3222-5252* • ------------------------------------------------- --------------------------------------- • ♦♦ ROUTINE: AP AND PROFILE ♦♦ • ------------------------------------------------- --------------------------------------- • ♦ AP: • ► Patient Positioning - Supine Position • The patient's supine position with arms along the body and head on pillow (can also be • made in prone or vertical decubitus; see Note). • ► Position of the Party: • • Align the midsagittal plane with the RC and the table/grid line. • • Bend knees and hips to reduce lordotic curvature. • • Ensure the absence of chest or pelvis rotation. • ► RC: • • RC perpendicular to the RI, centering as follows: • Largest RI (35 × 43) • Direct RC at the level of the iliac crest (space between L4 and L5). The greater RI will include the vertebrae • lumbars, the sacrum and possibly the coccyx. • Minor RI (30 × 45) • Direct the RC at the level of L3, which can be located by palpating the inferior costal margin (4 • cm above the iliac crest). This minor RI will include the first five lumbar vertebrae. • • Centralize the RI to the RC. • ------------------------------------------------- -------------------------------------- • ♦ Profile: • ► Patient Positioning - Lateral Position: • Place the patient in lateral decubitus, with the head on the pillow, knees flexed and • with support between the knees and ankles to better maintain the lateral position and ensure the • patient comfort. • ► Position of the Party: • • Align the coronal midplane to the RC and the midline of the table and/or to the RI. • • Place radiolucent support under the waist as needed to arrange the longitudinal axis of the • column parallel to the table (palpate the spinous processes to determine, see Observation.) • • Ensure the absence of chest or pelvis rotation. • ► RC: • • RC perpendicular to RI. • Largest RI (35 × 43) • Center at the level of the iliac crest (L4-L5). This incidence includes the lumbar vertebrae, the sacrum and, • possibly the coccyx. • Minor RI (30 × 35) • Center L2-L3 at the level of the inferior costal margin (4 cm above the iliac crest). Includes the five • lumbar vertebrae. Centralize the RI to the RC. • ------------------------------------------------- ---------------------------------------- • Source: Bontrager, 8th Edition. #Radiology

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