SPINE POSITIONINING CHALLENGES
Patientssuffering from osteoporosis may incur intense pain duringradiographic examinations that are lying on the x-ray table. Suchpatients should be given positioning aids that include radiolucentsponges, mattresses, and sandbags, however it must be ascertainedthat the materials do not impair image quality. An uprightradiographic examination may also be an appropriate approach for thepatients as long as the patient can safely tolerate the position. Acombination of both cervical lordosis and thoracic kyphosis can bringdifficultly to spinex-ray positioning and visualization of the cervical and thoracicspine(ACR), 2014).
Suchpatients would require a lateral spine projection that can beundertaken while the patient is in an upright position, sitting orlying supine. AP projection while in a sitting position may not be aneffective approach to visualizing the upper cervical vertebrae thisis because the position of the chin may obscure the anatomy. In thesupine position the head my reach the table, this results inmagnifications. AP and open mouth projections are very difficult todo on a wheel chair. This means that for patients in wheel chairshave to be supported to assume different positions for the x-rays totake place (Radiologymasterclass.co.uk, 2014).
Spongesand sandbags are the common devices used for immobilization. Thethoracic and lumber spines are compression fracture sites in thiscase the use of immobilization devices like positioning blocks mayserve the purpose of ensuring that the patient remains in position.In the case of a lateral projection, a lead blocker or shield behindthe patients` spine should aid absorption of scatter radiations asmuch as possible. Patients suffering from spine trauma also exhibitdifficulties during radiographic examinations it also limits thepatients to only two projections on some occasions offering only oneprojection.
Onmost occasions, the patient is unconscious and exhibits difficulty inbreathing, the patient also encompasses injuries and unnecessarymovement`s risks damaging the cervical cord. In this case the mostvaluable projection is the lateral view that can be obtained in astandard fashion or with a standard patient supine all depending onhow intense the patient`s condition is. This projection depicts themost traumatic conditions of the cervical spine with an inclusion ofthe injuries involved in the interior and posterior aches of C-I, theodontoid process, and interior atlantal dens interval (ACR), 2014).
Fornon-trauma patients, they should be positioned either seated orstanding in a lateral position offer adjustments to the shoulder ofthe patient`s body and ensure it is in a lateral position. Thepatient should be asked to elevate their chin slightly and relax bydropping their shoulders down and forward as far as possible.
Spinalfractures occur when bones in the spine break and collapse. This canhappen due to trauma or injury such as experiencing a bad fall or anaccident. Spinal fractures can be caused by simple movements likecoughing or sneezing if the vertebrae are weak and brittle fromosteoporosis or cancer. Patients with spinal fractures pose thegreatest challenge during X-rays this is because they exhibitfragility of the highest magnitude. Most patients with Spinalfractures would require treatment by Chiropractic Care(Radiologymasterclass.co.uk, 2014).
Idealpositions attributed by spinal problems depend on the kind of viewrequired from the patient. However, it is crucial for the doctors toidentify the patients` conditions before subjecting them to X-rays orpositioning them. For instance, there are those patients who cannotstand on their own, or have breathing difficulties. Such patientswould require more specialized consideration. The elderly who cannotstand on their own in case a lateral view is required would on mostoccasions be supported to an upright position.
(ACR),R. (2014). SpineMRI.Radiologyinfo.org.Retrieved 1 December 2014, fromhttp://www.radiologyinfo.org/en/info.cfm?pg=spinemr
Radiologymasterclass.co.uk,.(2014). RadiologyMasterclass – Musculoskeletal X-ray – Introduction to Trauma X-ray -Introduction.Retrieved 1 December 2014, fromhttp://radiologymasterclass.co.uk/tutorials/musculoskeletal/trauma/trauma_x-ray_start.html