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Clear X Ray Analysis 2016
- 1. CLEAR X-Ray Analysis 2013 Dr. Dennis Woggon BSc, DC X-rays from Dr. Nathan Wagner, DC Edited by Dr. Kaila Hersh, DC Dr. SuYen Chong, DC copyrighted 2013
- 3. Sella Turcica – anterior, superior aspect of ST
- 5. C2 Superior Stress Line C7 Inferior Stress Line Superior and Inferior aspect of the back of the Vertebral Body
- 7. Where the Superior Stress Line and the Inferior Stress Line Cross is the Stress Vertebra Normal C4-5
- 8. Measure the intersection of the superior and inferior stress lines in degrees 43 degrees 5% LOC
- 9. Convert the degrees to a percentage of Loss Of Curve
- 12. Convert the degrees to a percentage of Loss Of Curve
- 14. Kyphotic S-Curve Find The Middle Line That Best Approximates The Vertebra
- 15. Kyphotic S-Curve Measure The Kyphotic Angle and Convert It Into % Kyphotic 11 degrees 126% LOC
- 16. Kyphotic S-Curve Measure The Lordotic Angle and Convert It Into % Lordotic 28 degrees 38% LOC
- 17. Kyphotic S-Curve Add The % Together 126% + 38% = 164% LOC
- 18. Convert the degrees to a percentage of Loss Of Curve 126% + 38% = 164% LOC
- 19. Lordotic S-Curve
- 21. Lordotic S-Curve Find The Middle Line That Best Approximates The Vertebra
- 24. Lordotic S-Curve Add The % Together, NOT the degrees Lordotic 26° Kyphotic 9°
- 25. Convert the degrees to a percentage of Loss Of Curve 43% + 122% = 165% LOC
- 27. Lordotic S-Curve Add The % Together 26° – 43% 9° – 122% Total = 165% LOC
- 28. Sella Turcica – anterior, superior aspect of ST
- 29. Sella Turcica – anterior, superior aspect of ST
- 30. Gravitational Weight Line Sella Turcica – anterior, superior aspect of ST Perpendicular to the top of the film
- 32. Gravitational Weight Line Should cross the C4/C5 interspace at the ¼ aspect
- 33. Gravitational Weight Line 1” = 10#’s .2” = 2#’s Total of 12#’s Apparent Head Weight
- 34. Skull Base Line Zygomatic Notch and ½” posterior to the mastoid
- 35. Zygomatic Notch
- 36. Skull Base Line
- 37. Atlas Plane Line Center of Anterior Tubercle and in front of the Posterior Tubercle
- 38. Atlas Plane Line
- 40. Superior Stress Line Superior and Inferior aspect of the back of the Vertebral Body
- 43. Measure the Skull Base Line to the Superior Stress Line 18 degrees 18 72
- 44. Measure the Atlas Plane Line to the Superior Stress Line 21 degrees 21 69
- 45. 18 72 Normal position is 18 degrees to the perpendicular protractor line and superior stress line or 72 degrees between the skull base line and the superior stress line
- 46. 18 72 Normal position is 18 degrees to the perpendicular protractor line and superior stress line or 72 degrees between the skull base line and the superior stress line Skull Base Line 18 degrees or 72 degrees
- 47. 21 69 Normal position is 18 degrees to the perpendicular protractor line and superior stress line or 72 degrees between the atlas plane line and the superior stress line
- 48. 21 69 Normal position is 18 degrees to the perpendicular protractor line and superior stress line or 72 degrees between the atlas plane line and the superior stress line Atlas Plane Line 21 degrees or 69 degrees Inferior Atlas of 3 degrees
- 52. 38
- 54. C2 Vertebral Body Base Lines C2 VBBL
- 55. The Normal Position of C2 should be -10 degrees to a horizontal plane line -1
- 56. The Normal Position of C2 should be -10 degrees to a horizontal plane line C2 measures – 1 degrees so it is 9 degrees out of alignment -1
- 58. Vertebral Body Base Lines Should all converge at 6 inches Posterior Articular Dysfunctional Vertebra C2, C4, C7 PADV
- 59. The weight of the head causes a cantilever effect on the vertebra causing the posterior vertebra to diverge
- 60. The weight of the head causes a cantilever effect on the vertebra causing the posterior vertebra to diverge
- 61. The weight of the head causes a cantilever effect on the vertebra causing the posterior vertebra to diverge
- 62. Vertebral Body Base Lines Should all converge at 6 inches Posterior Vertebra C2 , C4, C7
- 63. SBL 18° / 72 ° APL 21 ° / 69 ° 16% LOC 12# AHW PADV C 2, 4 & 7 Stress Vertebra C 5
- 66. Flexion X-ray
- 67. Normal Flexion from C2 – C7 is 60 degrees 28 degrees of flexion
- 69. The Skull Base Line relative to the superior stress line should be 3 degrees in flexion 25 degrees
- 70. The Atlas Plane Line relative to the superior stress line should be 10 ½ degrees in flexion 11 degrees
- 73. Flexion 28 degrees (60 normal) Occiput 25 (3 normal) Atlas 11 (10 ½ normal) C5,6,7 restricted in Flexion
- 75. Normal Extension from C2 – C7 is 70 degrees 62 degrees of Extension
- 77. The Skull Base Line relative to the superior stress line should be 33 degrees in extension 42 degrees
- 78. The Atlas Plane Line relative to the superior stress line should be 25 ½ degrees in extension 24 degrees
- 80. Vertebral Body Base Lines Should All Converge C3 &C 7 restricted in Extension
- 82. Add the flexion and extension translation together 3mm Flexion + 2mm Extension = 5mm of translation - LMSI
- 83. Extension 62 degrees (70 normal) Occiput 42 (33 normal) Atlas 24 (25 ½ normal) C3 & C7 restricted in extension
- 85. Eye Plane Line
- 86. Eye Plane Line
- 87. Eye Plane Line
- 88. Eye Plane Line
- 89. Eye Plane Line
- 90. Atlas Plane Line Inferior lateral aspect of the lateral mass
- 91. Use the superior aspect of the lateral mass and the posterior arch as guidelines
- 92. Atlas Plane Line Inferior lateral aspect of the lateral mass
- 93. Eye Plane Line Lt 6 degree Upper Angle Acute 84 Obtuse 96
- 94. The occiput moves inferior on the side of atlas laterality creating an acute angle
- 95. Bisect C2 body using the indented sides of C2 Measure the C2 spinous from the center of the C2 vertebral body in mm’s
- 96. Bisect C2 body using the indented sides of C2 Measure the C2 spinous from the center of the C2 vertebral body in mm’s Lt 2 mm’s Lt 2 mm spinous
- 97. Find the center of the spinal canal by bisecting the difference between the center of C2 body and the C2 spinous
- 98. Find the center of the spinal canal by bisecting the difference between the center of C2 body and the C2 spinous
- 99. The Spinal Canal is found 3-D between the body and spinous
- 100. The Spinal Canal is found 3-D between the body and spinous
- 101. Find the center of the spinal canal by bisecting the difference between the center of the vertebra body and the spinous of the stress vertebra FIVE SPOTS Where is the stress vertebra?
- 103. Find the center of the spinal canal by bisecting the difference between the center of the vertebra body and the spinous of the stress vertebra FIVE SPOTS Where is the stress vertebra?
- 105. Lower Angle
- 106. The Lower Angle is the intersection of the Atlas Plane Line and the Lower Angle Line (Superior Stress Line) Left 2 degrees
- 107. The Lower Angle is the intersection of the Atlas Plane Line and the Lower Angle Line 2
- 108. Find the center of the spinal canal by bisecting the difference between the center of the vertebra body and the spinous of the stress vertebra and T2 FIVE SPOTS
- 109. The Cervical Dorsal Angle is the intersection of the Superior (lower angle) and Inferior Stress Lines Right CD Angle 2 degrees
- 110. The CD Line (Inferior Stress Line) Should Go Through The Center Of The Spinal Canal Of T7 If Not, Measure the Dorsal Upper Dorsal Angle
- 112. Base Posterior Lt
- 114. Base Posterior Dot on the middle of the dens Lt
- 117. Atlas Plane Line Lt
- 120. The acute angle is anterior rotation The obtuse angle is posterior rotation Lt
- 121. The acute angle is anterior rotation The obtuse angle is posterior rotation Relative to the upper angle Anterior Left 6 degrees Anterior 6 degrees Lt
- 122. Eye Plane Line Lt 6 degree Upper Angle Acute 84 Obtuse 96
- 123. The acute angle is anterior rotation The obtuse angle is posterior rotation Relative to the upper angle LEFT Anterior 6 degrees Anterior 6 degrees Lt
- 124. Lateral Lumbar X-Ray
- 125. Sacral Base Line
- 126. Sacral Base Line relative to a Horizontal Plane Line
- 127. Sacral Base Line relative to a Horizontal Plane Line Ferguson’s Angle Sitting Normal is 31 degrees
- 128. Sacral Base Line relative to a Horizontal Plane Line Ferguson’s Angle Sacral Base Line = 20 degrees
- 129. Sacral Base Line relative to a Horizontal Plane Line Ferguson’s Angle Sitting 31 degrees is normal 20 degrees
- 130. Inferior Stress Line
- 131. Inferior Stress Line Top and Bottom of the back of L5
- 132. Inferior Stress Line
- 133. Inferior Stress Line
- 136. Sacral Line 1st Sacral Segment and Inferior Stress Line L5 Retrolisthesis Posterior Ligament Instability
- 137. Sacral Line 1st Sacral Segment and Inferior Stress Line L5 Retrolisthesis Posterior Ligament Instability
- 138. Sacral Line 1st Sacral Segment and Inferior Stress Line 5 mm’s
- 140. Superior Lumbar Stress Line Stress Vertebra L3 is Normal L3
- 142. Superior Lumbar Stress Line 35 degrees is normal sitting 21 degrees
- 144. Superior Lumbar Stress Line 35 degrees is normal sitting 21 degrees 40% LOC
- 145. 20 degrees Sacral Base Line 40% LOC L5 Retro 5 mm
- 146. A-P Lumbar
- 147. A-P Lumbar Left Hip High - AS Right Hip Low - PI
- 148. A-P Lumbar Right Wide Elephant Ear Left Narrow Elephant Ear Pelvic Rotation
- 149. A-P Lumbar Sacral Base Line + 1 degree High Sacrum = Anterior Hip (usually) AS
- 150. A-P Lumbar Spinal Canal 5 dots Stress Vertebra?
- 152. A-P Lumbar Spinal Canal 5 dots Stress Vertebra L 3
- 153. A-P Lumbar Spinal Canal Inferior Stress Line
- 154. A-P Lumbar Spinal Canal Acute Lumbo Sacral Angle LEFT Acute LS angle 2 degrees 2
- 155. A-P Lumbar Spinal Canal Superior Stress Line Stress Vertebra to T12 2
- 156. A-P Lumbar Spinal Canal Superior Stress Line Stress Vertebra to T12
- 157. A-P Lumbar Spinal Canal Superior Stress Line Stress Vertebra to T12
- 159. A-P Lumbar Spinal Canal Superior Stress Line Should Go To The Spinal Canal of T7 If Not, Measure The DLD Angle 5 2
- 160. The DLD Angle RIGHT DLD 16 degrees 16
- 161. Cobb Angle Put a Horizontal Line On the Top Of The Superior Most Tilted Vertebra And On The Bottom Of The Inferior Most Tilted Vertebra
- 162. Cobb Angle Draw A Line Perpendicular To The Vertebral Body Base Line Superior And Inferior
- 163. Cobb Angle Draw A Line Perpendicular To The Vertebral Body Base Line Superior And Inferior
- 164. Cobb Angle Measure The Intersection Of These Lines 8 13
- 165. Cobb Angle Measure The Intersection Of These Lines 8 13
- 171. Cobb Angle Be Sure To Measure The Cobb Angle On Both Sitting X-ray and The Standing Scoliosis X-ray
- 172. Cobb Angle Be Sure To Measure The Cobb Angle On Both Sitting X-ray and The Standing Scoliosis X-ray 27 25
- 174. Cobb Angle 45 57
- 175. CLEAR X-Ray Analysis 2013 Dr. Dennis Woggon BSc, DC X-rays from Dr. Nathan Wagner, DC Edited by Dr. Kaila Hersh, DC