X-RAY SPINE

Oleh:
Imaz Zaniar Tristianti (J510215334)

Pembimbing:
dr. Agus Mulyanto, Sp.Rad
 
FAKULTAS KEDOKTERAN
UNVERSITAS MUHAMMADIYAH SURAKARTA

FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH SURAKARTA

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
Anatomi Vertebra

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
Vertebra Cervicalis

AP View
Lateral View

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
 Vertebra Thoracolumbal

AP View
AP View Lateral View

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
 V. Cervicalis standart view

• AP View
• Lateral View
• Odontoid ( open mouth ) view
 Lateral View
AP View

• Dapat dilakukan secara erect atau supine

● Dapat dilakukan secara erect lateral atau
• Terlihat korpus vertebra, pedikel, diskus recumbent lateral.
intervertebralis
● Terlihat korpus vertebra, pedikel, diskus
intervertebralis

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 Odontoid (Open mouth) view

Untuk memvisualisasi struktur C1 dan

C2, terlihat dens ( odontoid process),
korpus vertebra C2, lateral mass C1,
atlantoaxial joint C1-C2.

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Vertebra Thoracolumbal Standar View

•V. Thoracal: V. Lumbal :

 AP View
AP View  Lateral View
Lateral View  Oblique View

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AP Thoracalis View

Memperlihatkan
- Corpus vertebra
- Pedicle
- Discus intervertebra

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Lateral Thoracalis view

Memperlihatkan
- Corpus vertebra
- Intervertebral disc
- Pedicle
- procces spinosus

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AP Lumbal view

Memperlihatkan:
• Corpus vertebra
• intervertebral disc
• Pedicle
• Procces Spinosus
• Sacroiliaca joint
• Sacrum

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Oblique Posterior atau Anterior
Lumbal View
Tampak sendi apofiseal terbuka
yang menggambarkan ‘scotty
dog’

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Lateral Lumbal view

- Tampak foramen intervertebralis

L1-L4, corpus vertebra, discus
intervertebral, proc spinosus, L5,
sacrum

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 Sistematika Membaca Spine X-Ray

1. Identitas pasien
2. Tampak foto spine lateral view
3. Alignment
cek apakah inline atau tidak, jika tidak inline  terdapat deformitas
4. Bone
- periksa keutuhan tulang vertebra
- periksa facet
- periksa prosesus spinosus
5. Cartilage & Diskus Intervertebralis
6. Soft Tissue  nilai prevertebral soft tissue

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Foto Cervical Normal

• Alignment baik
• Bone baik tidak ada fraktur
• Intervertebral disk space normal
• Prevertebral soft tissue normal

Kesp : foto cervical normal

Compression Fracture
•Fraktur yang terjadi karena adanya kompresi
pada korpus vertebra yang tertekan dan
membentuk patahan irisan. Vertebra dengan
fraktur kompresi menjadi lebih pendek
ukurannya.
- Alignment : baik
- Bone : fraktur pada corpus VL1
- Diskus intravertebra : terdapat
penyempitan pada discus VT12-
VL1 dan discus VL1-VL2

•Kesp : Fraktur kompresi VL1

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Ancylosing Spondylitis
• Peradangan kronis yang menyebabkan
menutupnya celah antar ruas vertebra.

• Gejala klinis : nyeri dan kaku pada

leher, punggung serta panggul.
• Tampak gambaran “bamboo spine”
karena ligamentum paraspinal
mengalami osifikasi, ruang
intravertebra terhubung satu sama lain

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Tuberculous Spondylitis

• Penyakit infeksi disebabkan

Mycobacterium tuberculosa yang
mengenai tulang belakang

• Manifestasi klinis : nyeri

punggung,deformitas tulang
belakang (kifosis)

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Spondilolistesis
•Pergeseran ke depan dari
vertebra antara V.L4 dan
V.L5 atau V.L5 dan sacrum

Gejala klinis : nyeri

pinggang

Tampak pergeseran ke
anterior pada VL5

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Spondilolisis
•Defect atau stress fracture di pars
interarticularis arckus vertebralis.
Sering terjadi pada vertebra inferior

Gejala klinis : nyeri

pinggang

•Tampak fraktur pada pars

interarticularis VL5

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
Spondilolisis

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Metastasis

• Metastase osteolitik : karena multiple myeloma,

karsinoma ginjal
• Metastase oseoblastik : karena Ca prostat, Ca
mamae

Tampak pediculus T11 Dextra menghilang =

metastase osteolitik
Pediculus T12 tampak lebih padat daripada yang
lain = metastase osteoblastik

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
Metastasis

Metastase Osteolitik
Metastase Osteoblastik

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS
 TERIMA KASIH

UNDOUBTEDLY NURTURING GLOBAL GREAT FAMILY DOCTORS UNDER ISLAMIC ENVIRONMENT LEADING NEW INNOVATIONS