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xr_spinelumbar

the lumbosacral spine Xray

introduction

  • the lumbosacral spine Xray is NOT usually indicated in the ED unless there is significant risk of finding pathology such as:
    • fracture risk?
      • major trauma
      • minor trauma if >50 years old, with a history of osteoporosis, and/or taking corticosteroids
      • possible unstable Chance fracture - severe hyperflexion injury eg. MVA with lap belt, fall from a height
    • malignancy risk (XR shows evidence of tumour in 90% of vertebral metastases)
      • PH malignancy
      • >50 years old
      • Unexplained weight loss (e.g. >4.5kg in <6 months)
      • Pain at multiple sites
      • Pain at rest
xr_spinelumbar.txt · Last modified: 2019/01/07 23:05 by gary1