1. Lumbar Spine
Sacrum And coccyx

2. Lateral sacrum and coccyx
Views AP
Lateral
Lateral Spot
AP sacrum
AP coccyx
Lateral sacrum and coccyx

3. AP L-Spine 14 x 17 lengthwise Marker 80 @ 15 Measures 17 Expiration
Shielding

4. AP Positioning Patient supine on table
Patients midline with midline of table
Knee flexed (optional)
Arms at side or up out of the way
No rotation
Collimate on lateral borders of spine

5. CR perpendicular to crest
SID 40

6. Seen on Radiograph Entire Lumbar spine Intervertebral joint spaces
Spinous and transverse processes
SI joints
Sacrum

7. Lateral Lumbar
14 x17 lengthwise
Marker 50
Expiration

8. Lateral Lumbar Positioning
Patient rolled up on left side
Knees flexed and on top of each other
Align mid-coronal plane to mid-line of table
True lateral position with no rotation
Scapula and hips straight

9. CR perpendicular and centered crest
SID 40

10. Seen on film Intervertebral foramina L1-L4 L4-S1 Junction
Spinous processes

11. Spot 8 x10 lengthwise 100 @ 50 Marker Measures 31 Hold breath
Collimate to area of interest

12. Spot Positioning Same as the lateral You do not have to move patient
You angle your tube

13. CR is angled 5-10 degrees caudad
SID 40
1 ½ inches below crest

14. Seen on Film
An open L4-L5 space
L5-S1

15. Sacrum and Coccyx 3 views, 2 AP’S & lateral 10 x 12 lengthwise
Shield on Males
Marker
Expiration
Collimate to area of interest
for AP’s
for lateral

16. AP Sacrum Patient supine Align midline of body to midline of table
Patient flat with no rotation
Patient in the same position as AP L-spine

17. Midway between ASIS and Symphsis Pubis
CR angled 15 degrees cephlald
SID 40
Midway between ASIS and Symphsis Pubis

18. Seen on Film
AP projection of sacrum
SI joints
L5-S1 Junction

19. AP Coccyx
Patient in same positioning
Angle the other way

20. CR angled 10 degrees caudad
SID 40
2 inches above Symphsis Pubis

21. Seen on Film
Coccyx free of imposition

22. Lateral Sacrum and coccyx
Position patient on side like the Lateral L-spine
Align sacrum and coccyx to midline of table

23. CR Perpendicular to IR
SID 40
3 inches posterior to ASIS

24. Seen on Film
Lateral view of sacrum and coccyx
L5-S1 joint