How to Read a Lumbar Spine X-ray | Reading Standing Spine X-ray

#spineaquestions #spinesanswers #backpain

In this presentation, Dr. Donald Corenman demonstrates how to interpret an x-ray of the spine and back. He will discuss the following:

Standard AP X-Ray Image and what to look for:
No scoliosis
No angular collapse
5 lumbar vertebra
Pedicle shadows intact
No rotation
Intercrestal line
Sacroiliac joints
Hip integrity (if visible)
Facet contours and sclerosis
Pelvis alignment (short leg)
Quality of bone (pencil thin cortices)

He explains several x-rays including:

Adolescent Riser Sign
Normal Lateral X-Ray
Lordosis Generated From Trapezoidal Shape of Disc
Flexion and extension films
Obliques (Scotty Dog View)
Ferguson View
Bertolotti's Syndrome
Sacro-Iliac Joint Views
AP Pelvis
Mach Lines
Pedicle Shadows
Measuring Sagittal Disc Heights

Watch the video to learn more X-Ray interpretation techniques.

Dr. Corenman provides clinical cases for the medical audience to review and provide their own diagnosis as well as how-to presentations for medical professionals.

With more than 30 years of experience, Donald Corenman, MD, DC, is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. His training as a Doctor of Chiropractic early in his career did not satisfy his desire for a deep understanding of the mechanics of the spine. This led him to medical school where he completed his Doctor of Medicine, Orthopedic Surgery Residency and Spine Surgery Fellowship. His study of spinal disorders and deformities brought him to Vail, Colorado where he joined The Steadman Clinic in 1994. With personalized clinical care a cornerstone of Dr. Corenman’s practice, he has been awarded the “Top 10 Doctor Award”, “Patient’s Choice Award”, “Compassionate Doctor Recognition” and is consistently recognized by Becker’s Spine Review in “Top Spine Surgeons to Know.”

Dr. Corenman has published two books: for patients, “Everything You Wanted to Know About the Back: A Consumers Guide to the Diagnosis and Treatment of Lower Back Pain” and for the medical community, “The Clinician’s Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment”. He is passionate about educating patients on spine anatomy and disorders, so they have the ability to partner with their physicians in finding the most effective treatment for their back pain and disorders. His focus on peer education earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles.

[frankfrank]

Please don't stay away so long Doctor Corenman, Respect!

[alanphillips]

20 years of doctor prescribed opioids. I believe I have Spondylolisthesis, probably grade 4. I am thoroughly convinced I need an upper Lumbar spinal fusion/disc replacement. About 90 minutes work for an average surgeon. But I live in Canada and our doctors are unable to diagnose this. No. I am not kidding. Doctor prescribed opioids since May 2004.
I have tried everything else, multiple times. So many people are dying here in Canada because our doctors prescribe opioids and then abandon the patient. After a while of this agony, hope vanishes and the drugs are a way out of pain so. Accidental ? Yes ! One pill too many. The pain is too severe and cannot be endured for very long.
I had a surgeon diagnose this as being psychosomatic. 20 years of opioids and its all in my head ? Is that how mental pain is treated ? 20 years of opioids ?
Canada.
Don't come here. You have been warned !
We do NOT have universal healthcare. I am proof.

[adambit]

Great lecture
Thank you so much sir🎉

[hytamahmed]

Thank you so much for this valuable vedio

[geegeepa]

during a standing x-ray, if i leaned towards my left side more, would that disturb the posture of the spine thus bias the results?