The Use of a Modified Fulcrum for Fulcrum Bending Radiographs: A Technical Note

Autor: Kenneth MC Cheung, Josephine WN Lam, Dino Samartzis, William W Lu, Keith DK Luk
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Journal of Orthopaedic Surgery, Vol 22 (2014)
Druh dokumentu: article
ISSN: 2309-4990
23094990
DOI: 10.1177/230949901402200229
Popis: We describe a modified fulcrum design to overcome limitations of a traditional fulcrum. The modified fulcrum is a triangular prism–shaped foam with rounded and padded edges. The 3 faces of the fulcrum represent 3 different heights (17.0 cm, 17.5 cm, and 21.0 cm). For fulcrum bending radiographs of the thoracic curve, the patient is placed on an X-ray table in a lateral decubitus position over the fulcrum. The apex of the appropriate height of the fulcrum is positioned under the rib corresponding to the apex of the curve, such that the ipsilateral shoulder is lifted off the X-ray table for maximum passive bending force to the curve. For fulcrum bending radiographs of the lumbar curve, the fulcrum is positioned directly under the apex of the curve such that the ipsilateral iliac crest is lifted off the X-ray table.
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