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Radiographic views of sacrum and coccyx
1. Radiographic views of
Sacrum and Coccyx
Chandan Prasad Rajbhar
Tutor
College of paramedical sciences
TMU, Moradabad
2. AP AXIAL SACRUM PROJECTION: SACRUM
• Pathology of the sacrum,
including fracture.
• Patient Position—Supine
Position
• Part Position
• Align midsagittal plane to CR and
midline of table and/or IR.
• Ensure that no rotation of the
pelvis exists.
Central Ray
Angle CR 15° cephalad. Direct CR 2 inches
(5 cm) superior to
pubic symphysis.
Center IR to CR.
3.
4. AP AXIAL COCCYX PROJECTION: COCCYX
• Pathology of the coccyx including
fracture.
• Patient Position—Supine
Position
• Part Position
• Align midsagittal plane to midline
of table and/or IR.
• Ensure that no rotation of the
pelvis exists.
Central Ray
Angle CR 10° caudad. Direct CR 2 inches (5 cm) superior
to symphysis pubis.
• Center IR to CR.
5.
6. LATERAL SACRUM AND COCCYX
POSITION: SACRUM AND COCCYX
• Pathology of the sacrum and coccyx,
including fracture
• Patient Position—Lateral Position
• Place patient in the lateral recumbent
position, with head on pillow, and knees
flexed.
• Part Position
• Align long axis of sacrum and coccyx to
CR and midline of table and/or IR.
• Ensure that no rotation of thorax or
pelvis exists
CR perpendicular to IR.
•Direct CR 3 to 4 inches (8 to 10 cm)
posterior to ASIS (centeringfor sacrum).