-lp coloana vertebrala.ppt
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8/18/2019 -lp coloana vertebrala.ppt
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Radiografia coloanei vertebrale
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De mentionat:
• Segmente ale coloanei vertebrale si tipuride incidente
•Tehnici radiologice
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Segmente ale coloanei vertebrale
• Cervical: C1-C7• Toracal / dorsal: D1-D1
• !ombar: !1-!"• Sacrat: S1-S"• Coccigian: C1-C#
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Tipuri de incidente
• $nteroposterior: $%• &: oblic
• !ateral: !!' R!
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De mentionat:
• Segmente ale coloanei vertebrale si tipuride incidente
• Tehnici radiologice
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Radiografia (onctiunii cranio-cervicale-incidenta $%
• %acient in decubit dorsal cu gura deschisa• %lanul mediosagital perpendicular pe masa• RC perpendiculara' intra prin cavitatea bucala si iese la nivelul
(onctiunii cranio-cervicale
• Cu grila
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Radiografia coloanei cervicale- incidenta $%/ %$
• %acient in decubit dorsal/stativ' cu e.tremitateacefalica usor in e.tensie
• %lanul medio-sagital
perpendicular pe film• RC inclinata cu 1"- 0
caudo-cranial intra lanivelul osului cricoid siiese superior de C#
• Cu grila
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Radiografia coloanei cervicale- incidenta !!/R!
• %acient in ortostatism/decubit lateral cu umeriimult orientati caudal
saculeti de nisip2•
%lanul mediosagitalparalel cu filmul• RC perpendiculara' intra
la nivel C# si iesecontralateral
• Cu grila
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Radiografia coloanei cervicale- incidenta 3/#• %acient in decubit
dorsal cu planulmediosagital inclinatin unghi de #"0
• RC perpendiculara'intra la nivel C#• Cu grila
http://)))*)i+iradiograph,*com/page/Thoracic Spine radiographic $natom,
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Coloana cervico-dorsala- incidenta $%
• %acient in decubit dorsal cu planul medio-sagitalperpendicular pe masa
• RC perpendiculara' intra prin furculita sternala• Cu grila• 4ilm 1"/# cm
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Coloana cervico-dorsala- incidenta laterala• %o5itia 6innotatorului• %acient in decubit lateral'
genunchii flectati' planulmediosagital al toraceluiinclinat sub un unghi cumasa' bratul de partearadiografiata intins sube.tremitatea cefalica'celalalt intins pe langatrunchi
• RC perpendiculara' intra la
nivel D1-D• Cu grila
http://)))*)i+iradiograph,*com/page/Thoracic Spine radiographic $natom,
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Coloana dorsala- incidenta $%
• %acient in decubit dorsal• %lanul mediosagital
paralel cu masa
• RC perpendiculara' intradesupra apendicelui.ifoid 3-# cm2
• Cu grila
http://)))*)i+iradiograph,*com/page/Thoracic Spine radiographic $natom,
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Coloana dorsala- incidenta laterala
• %acient in decubit dorsal /la stativ' cu brateleridicate' planulmediosagital parale cu
filmul/ masa/ stativul• RC perpendiculara' intra
la # cm anterior deapofi5ele spinoase si indreptul varfului scapulelor
D7-D82• Cu grila
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Coloana lombara- incidenta $%/%$• %acient in decubit
dorsal cu genunchiiusor flectati / pacient inortostatism
• RC perpendiculara'intra la nivelulombilicului' iese prinapofi5a spinoasa !#
• Cu grila
http://)))*)i+iradiograph,*com/page/!umbar Spine Radiographic $natom,
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Coloana lombara- incidenta laterala
• %acient in decubit lateral'genunchi flectati' planulmediosagital paralel cufilmul
• RC perpendiculara' intrala 7-8 cm anterior dealiniamentul vertebral' pecreasta iliaca
• Cu grila
http://)))*)i+iradiograph,*com/page/!umbar Spine Radiographic $natom,
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Coloana lombara- incidenta 3/# • %acient in D!'
membrul inferiordecliv flectat'celalalt intins si dusspre posterior
• %lanul mediosagitalsub un unghi de #"cu masa
• RC perpendiculara'intra la "-9 cmanterior deapofi5ele spinoase
• Cu grila
http://)))*)i+iradiograph,*com/page/!umbar Spine Radiographic $natom,
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Regiunea sacro-coccigiana- incidenta $%
• %acient in decubitdorsal cu genunchiiflectati
• RC perpendiculara /inclinata caudo-cranial sacru maiori5ontali5at2' intra la#-" cm deasupra/
nivelul simfi5eipubiene• Cu grila
htt ://)))*)i+iradio ra h *com/ a e/Sacrum Radio ra hic $natom
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Regiunea sacro-coccigiana- incidentalaterala
• %acient in decubitlateral' genunchiiusor flectati' planulmediosagital paralelcu masa
• RC perpendiculara'intra la -3 cmsuperior si 3-# cmanterior de plicainterfesiera
• Cu grila
htt ://)))*)i+iradio ra h *com/ a e/Sacrum Radio ra hic $natom
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ota bene
• 4ilm: date de identificare pacient' semnuldreapta /stanga
• ;mobili5area regiunii de radiografiat
• Radioprotectie pacient- unde e posibil
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Thank You