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Lumbosacral Spine XRay
Aka: Lumbosacral Spine XRay, LS Spine XRay, Lumbar Spine XRay, L-Spine XRay
- Indication
- See Low Back Pain Red Flags
- Vertebral Fracture
- Spondylolisthesis
- Efficacy
- Low yield test in back disorders
- Views: Standard (Includes lower thoracic Vertebrae to Sacrum)
- Anterior-Posterior (AP) L-S Spine
- Vertical alignment of spinous processes
- Rotational injury (unilateral facet dislocation)
- Scoliosis
- Intervertebral disc space uniformity
- Includes Pelvis
- Acetabulum and femoral heads
- Pelvis degenerative changes
- Lateral L-S Spine
- Vertebral body
- Facet joint
- Lordotic curvature of L-S Spine
- Intervertebral foramen
- Intervertebral disc space height shortening
- Lumbosacral disc disease (degenerative)
- Spinal Osteomyelitis
- Spondylolisthesis (anterior slippage of L5 on S1)
- Views: Specific (typically low yield)
- Oblique L-S Spine (tube angled at 45 degrees)
- Neural foramina narrowing
- Pars Interarticularis Defect
- Spinal Tumor
- Facet hypertrophy
- Spondylosis
- Spondylolysis
- Spondylolisthesis
- Flexion and extension views
- Used to assess ligamentous and bony injury
- Contraindications
- Other XRay abnormalities are present
- Decreased Level of Consciousness
- References
- Humphreys (2002) Am Fam Physician 65(11):2299-306 [PubMed]
- Inaoka (2000) Arch Orthop Trauma Surg 120:380-5 [PubMed]