IMAGING OF NORMAL

SPINE
X- RAY OF NORMAL CERVICAL SPINE
X- RAY OF NORMAL THORACAL SPINE
X- RAY OF NORMAL LUMBAR SPINE
CT – SCAN OF NORMAL CERVICAL SPINE
CT – SCAN OF NORMAL THORACAL SPINE
CT – SCAN OF NORMAL THORACOLUMBAR
SPINE
MRI OF NORMAL CERVICAL SPINE
MRI OF NORMAL THORACAL SPINE
MRI OF NORMAL LUMBOSACRAL SPINE
SPONDYLITIS TB
GAMBARAN KLINIS

Nyeri lokal

Nyeri tekan lokal

Kekakuan dan kejang otot

Abses

Penonjolan tulang belakang /

kelainan bentuk tulang
belakang.
X- RAY
CT -SCAN
MRI
SPONDYLOSIS LUMBAL
 GAMBARAN KLINIS

 Nyeri yang hilang timbul,

 Punggung terasa kaku setelah bangun dari tidur di pagi hari,
 Nyeri berkurang setelah istirahat,
 Terasa kebas-kebas,
 Sciatica,
 Kesulitan berjalan
 Masalah saluran cerna atau kemih

 Sakit pinggang bersifat

-Pegal,
-Ngilu, kaku,
-Capek di seluruh pinggang
-Keluhan tersebut bertambah parah pada gerakan
pinggang
GAMBAR FOTO RONTGEN LUMBALIS
POSISI AP DAN LATERAL
GAMBARAN FOTO RONTGEN LUMBAL
POSISI AP DAN L
CT SCAN POTONGAN SAGITAL
MRI POTONGAN SAGITAL
SPONDYLISTHESIS
 GAMBARAN KLINIS

• Nyeri pinggang yang semakin hebat bila berdiri,

berjalan,atau berlari, dan berkurang bila beristirahat.
• Biasanya otot biceps femur,semitrendinosus,
semimembranosis dan grasilis tegang sehingga ekstensi
tungkai terbatas.
• Nyeri paha
• Kelemahan paha
• Gangguan fungsi berkemih dan defekasi tetapi bisa
normal
• Pemendekan badan bila terjadi spondyloptosis
• Hiperlordosis
 X-RAY

Spondylolisthesis. Straight lateral radiograph of the L4-S1 level of the spine shows a lucency at the pars area
(arrow). Bilateral pars defects must be present to visualize this in a lateral projection. Grade 1
spondylolisthesis is associated.
 Spondylolisthesis. Oblique projection radiograph shows the presence of bilateral pars
defects (arrows), with an appearance resembling a Scottie dog with a collar. (The collar is
the pars defect.)
 Spondylolisthesis. Lateral lumbar spinal Spondylolisthesis. Grade 4 traumatic
radiograph in a pediatric patient shows
spondylolysis with grade 1 spondylolisthesis. spondylolisthesis.
 CT - SCAN

Spondylolisthesis. Sagittal Spondylolisthesis. Sagittal Spondylolisthesis. Sagittal

CT reconstruction image CT reconstruction image CT reconstruction image
shows the pars defect shows the pars defect shows the pars defect
along with grade 1 along with grade 1 along with grade 1
spondylolisthesis (arrow). spondylolisthesis. spondylolisthesis (arrow).
 Spondylolisthesis. Axial CT image shows Spondylolisthesis. Axial CT image shows
bilateral spondylolysis (arrows). Note bilateral spondylolysis (arrows). Note
elongation of the spinal canal at this level. elongation of the spinal canal at this level.
 MRI

(A) T 2 MRI of a L 5 S 1 spondylolisthesis. (B) T 1 MRI of a L 5 S 1 spondylolisthesis.

(C) X-ray after ALIF surgery with internal fixation