Variations in 0° and 8° Caudal Angulation in Lumbosacral Joint Lateral Projection Examinations with Clinical Low Back Pain to Show More Informative Anatomy in the Radiology Department of Pariaman Regional General Hospital
DOI:
https://doi.org/10.62872/31bm4366Keywords:
Radiography, Lumbosacral joint, 0° and 8° caudal anglesAbstract
This quantitative experimental study, conducted at the Radiology Department of Pariaman Regional General Hospital, compared the diagnostic quality of lateral lumbosacral radiographs using 0° and 8° caudal beam angles. With a sample of three female patients assessed by five radiology specialists, results analyzed via the Wilcoxon test showed the 8° caudal projection (score: 3.87) was superior to the 0° angle (score: 3.07). The 8° angle provided a more optimal image, characterized by a well-opened intervertebral disc space and clear visualization of the spinous process without sacral overlap, making it more informative for clinical evaluation. In contrast, the 0° angle, while offering a clearer vertebral body outline, resulted in a less open disc and superimposed spinous process. The findings suggest that an 8° caudal beam angle enhances visualization of key anatomical structures in lateral lumbosacral radiography.
Downloads
References
Been, E., & Kalichman, L. (2014). Lumbar lordosis. The Spine Journal, 14 (1), 87-97.
Daffner, R. H., & Dalinka, M. K. (2014). Radiologic evaluation of the low back pain. Radiologic Clinics, 52 (5), 1075-1094.
Geijer, M., & Jonsson, B. (2016). A comparison of two radiographic positioning methods for radiography of the lumbar spine. Radiography, 22 (2), 140-144.
Gunn, M. J., Brosso, A., & O’Connell, C. D. (2015). The effect of tube angulation on diagnostic accuracy in lumbar spine radiography. Journal of Medical Imaging and Radiation Sciences, 46 (3), S14–S15.
Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., & Woolf, A. (2018). What low back pain is and why we need to pay attention. The Lancet, 2356–2367.
Kanayama, M., Togawa, D., Takahashi, I., Terai, T., & Hashimoto, T. (2010). Cross-sectional magnetic resonance imaging study of lumbar disc degeneration in 200 healthy individuals. Journal of Neurosurgery: Spine, 11 (5), 501-507.
Kreiner, D. S., Hwang, S. W., Easa, J. E., Resnick, D. K., Baisden, J. L., Bess, S., & Toton, J. F. (2014). An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. The Spine Journal, 1 (1), 1–15.
Lailani, M. T. (2013). Hubungan antara peningkatan indeks massa tubuh dengan kejadian nyeri punggung bawah pada pasien rawat jalan di Poliklinik Saraf RSUD Dr. Soedarso Pontianak. Jurnal Mahasiswa PSPD FK Universitas Tanjungpura, 1(1), 1–15.
Long, B. W., Rollins, J. H., & Smith, B. J. (2019). Merrill’s Atlas of Radiographic Positioning and Procedures (14th ed.). Mosby.
Maher, C., Underwood, M., & Buchbinder, R. (2017). Non-specific low back pain. The Lancet Global Health, 736–747.
Manaster, B. J., May, D. A., & Disler, D. G. (2014). Musculoskeletal Imaging: The Requisites. Elsevier Health Sciences, 4th.
Organization, W. H. (2023). Low back pain: A major global public health issue (WHO bulletin). https://www.who.int/news/item/26-07-2023-low-back-pain-a-major-global-public-health-issue
Pearce, E. C. (2013). Anatomi dan Fisiologi untuk Paramedis (33rd ed.). Gramedia Pustaka Utama.
Rasad. (2015). Dasar-dasar Radiologi (7th ed.). EGC.
RI., K. (2018). edoman manajemen nyeri punggung bawah (Low Back Pain/LBP) di pelayanan kesehatan primer.
Trikasjono, T., Hanifasari, K., & Suhendro, B. (2015). Analisis paparan radiasi lingkungan ruang radiologi di rumah sakit dengan program Delphi. Jurnal Teknologi Elektro, 6(3), 158. https://doi.org/10.22441/jte.v6i3.803
Utami, D. (2011). Pengaruh variasi penyudutan arah sinar pada pemeriksaan vertebra lumbosacral joint proyeksi lateral terhadap kriteria anatomi radiograf. JURNAL UWHS.
Widyaningrum, T. S., Suhariningsih, I., & Nurhayati, S. (2018a). Evaluasi Sudut Arah Sinar Terhadap Hasil Radiografi Proyeksi Lateral Lumbal. Jurnal Radiologi Indonesia, 7 (1), 15–21.
Widyaningrum, T. S., Suhariningsih, I., & Nurhayati, S. (2018b). Evaluasi Sudut Arah Sinar Terhadap Hasil Radiografi Proyeksi Lateral Lumbal. Jurnal Radiologi Indonesia, 7 (1), 15–21. https://journal.uwhs.ac.id/index.php/jitk/article/view/364
Wu, A., March, L., Zheng, X., Huang, J., Wang, X., Zhao, J., & Hoy, D. (2020). Global low back pain prevalence and years lived with disability. Annals of Translational Medicine, 8 (6), 299.
Downloads
Additional Files
Published
Issue
Section
License
Copyright (c) 2025 Santa Mareta, Oktavia Puspita Sari, Nerifa Dewilza, Livia Ade Nansih, Nadhifa Shofikha Giani (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
