X-Ray of the Dorso-Lumbar Spine. Skeletal Anatomy and Pathologies. Radiographic Findings on Lumbo-Sacral Spine and Dorsal Spine. Radiographic Projections. Pediatric and Adult SPinal Disorder. Radiology Useful Training Resource for Medics and Paramedics

1. RADIOLOGY TRAINING RESOURCE FOR MEDICAL
IMAGING TECHNOLOGISTS/SONOGRAPHERS,
NURSES, MIDWIVES AND RELATED MEDICS
Module 10: Radiography of the Dorso-
Lumbar Spine
Course lecturer
Nchanji Nkeh Keneth
Radiologic Technologist/Sonographer
CSMRR: 001012016
+237 671459765
B.TECH/HPD in MDIRT
(St. LOUIS UNIHEBS, Univ Buea)
excellence660@gmail.com
MedicalImagingTrainingResourceForMedicalImag
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10/23/2020

2. What we, Radiologic Technologists See;
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3. Presentation outline
 Review of Dorso- Lumbar Spine
Anatomy
 Dorsal/Lumbar Spine radiographic
Projections
 Common pathological Findings on
the D-L Spine radiographs
 Radiation Protection and Safety in D-L
Spine radiography
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4. Outcome
 At the end of this presentation, students
would have:
Learned about radiography of the
Dorso- Lumbar Spine and pathologies
Be able to recognize abnormal
radiographic findings on the D-L Spine
and correlate with clinical presentations
Radiation protection
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Keneth
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5. Requirements for this module:
All Students are Urged to review their anatomy and
physiology lectures on:
• the Musculoskeletal System
• And Pathological conditions
associated with this body
system
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8. Gross Anatomy of the Vertebral
Column
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11. The Dorsal Vertebrae
 There are 12 Dorsal vertebrae
 They have transverse processes and articular
facets for attachment to the ribs and muscles
 There are intervertebral foramen, serving as
channel for the spinal cord and nerves
 The vertebral bodies are separated by a soft pad;
called the disc
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14. Intervertebral Disc
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20. Lumbar Vertebrae
 There are 05 Lumbar vertebrae
 The size of the vertebral bodies enlarge from
L1 to L5, giving L4, L5 the largest density
 Lumber vertebrae bear the bodies weight
 They are flexible, facilitating bending and are
subject to multiple injuries
 Common Pathologies: Disc herniation,
Spondylitis, Fractures, Inflammations, etc
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21. Common disc problems(L) and Sagittal MRI ®
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23. Radiographic Views of the
Dorso-Lumbar Spine
AP
PA and
Oblique Views of the
Lumbar Vertebrae
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24. Reasons for Dorso-Lumbar X-ray
 To assess defects of the spine, like
kyphosis
 Rule out cause of persistent back pain
 Assess the vertebrae for fractures
 Diagnose disc problems
 Follow up assessment of the vertebrae
post medical intervention
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26. Radiographic Findings
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43. Radiation Protection
 This Should always be Practiced.
Nurses accompanying patients to the
Radiology Department should follow
Radiation safety rules as instructed by
radiographers during Radiographic exams and
should always read labels in radiology
Departments
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44. Radiation Protection Con’t
 All X-ray requests should be justified
 Under no circumstances should the x-ray of a
patient be mistaken for another
 Radiographic exams of the upper limbs
should be specific and limited
 Sensitive parts of the patient’s body should
always be covered with lead aprons during
radiographic exams
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45. References
Nchanji nkeh Keneth(2017). Skeletal
Radiographic Anatomy. Training
Course in Medical Diagnostic
Imaging. St Louis University,
Bamenda. MDI200.
www.slideshare.com
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47. References
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48. ANY QUESTIONS ?
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49. https://rpop.iaea.org/SAFRON/
https://rpop.iaea.org/safrad/
https://nucleus.iaea.org/isemir/
http://nucleus.iaea.org/HHW/MedicalPhysics/index.html
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