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American Journal of Roentgenology, Vol 131, Issue 2, 297-298
Copyright © 1978 by American Roentgen Ray Society

Articles

Routine oblique radiography of the pediatric lumbar spine: is it necessary?

FF Roberts, PR Kishore, and ME Cunningham

A series of 86 pediatric lumbar spine abnormalities was evaluated to determine the diagnostic benefit of radiography in oblique projection as compared to frontal-lateral projections alone. In only four patients was an abnormality apparent on the oblique view which had not already been demonstrated by the frontal-lateral series; each of these represented an isolated spondylolysis. Because the diagnostic yield was low at a patient cost of more than double the gonadal radiation dose, it is recommended that oblique views be eliminated in the routine radiography of the pediatric lumbar spine.
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Copyright © 1978 by the American Roentgen Ray Society.