Lumbar spine radiograph (checklist)
The lumbar spine checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
The lumbar spine can be shown in an exam setting, and will have been primarily performed because of a history of trauma and/ or pain.
Alignment
Vertebral bodies
- Paget’s disease
- metastasis
- fracture
- limbus vertebra
Intervertebral discs/ endplates
- degenerative disc disease
- Modic type 3 endplate changes
- sickle cell disease
- ochronosis
- diffuse idiopathic skeletal hyperostosis (DISH)
- ankylosing spondylitis - chalk stick fracture
- diskitis/ osteomyelitis
- osteopetrosis
- posterior ring apophyseal fracture
Posterior elements
Sacrum
- sacral insufficiency fracture
- inflammatory spondyloarthropathy i.e ankylosing spondylitis
- sacroiliac joint septic arthritis
- osteitis condensans ilii
Soft tissues
See also
