1. Spokane Community College
T Spine
Spokane Community College

2. T-spine AP
Lateral
Pawlow (swimmers)

3. AP T-Spine

4. AP Structures shown
AP projection of the thoracic bodies, intervertebral disk spaces, transverse processes, costovertebral articulations, and surrounding structures.
( All 12 thoracic vertebrae and the transverse processes)

5. Filter

6. Good Film All 12 vertebrae should be included
Collimation inside breast shadows
Spinous process should appear at the midline of the vertebral bodies
Spine down center of film

7. AP T-Spine

8. Left lateral T-Spine

9. Lateral T-Spine Structures shown
Lateral thoracic bodies T4 thru T12 (not 1- 3 because of the shoulders) and their interspaces, the intervertebral foramina, and the lower spinous processes.

10. Good film
Vertebrae should be seen clearly through rib and lung shadows
12th thoracic vertebrae should be on the film (could center lower to get L-1 because upper T1 thruT-3 are superimposed by shoulders)
Ribs superimposed posteriorly (rotation)
Collimation-not a CXR!

11. Left Lateral T-Spine

12. Rotation

13. Positioning

14. Pawlow or swimmer’s

15. Pawlow Structures shown
A lateral projection of the cervicothoracic vertebrae is seen between the shadows of the shoulders

16. Good Film Vertebrae lateral
Shoulders should be seen separated from each other
Lower cervical and upper thoracic vertebra should be included. (C-5 thru T3)
Exposure to penetrate the shoulder region