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Scottie dog sign is a radiological sign which refers to the appearance of lumbar spine in oblique view X-ray. [1] In the X-ray, the spine can be visualised as the lateral view of a Scottie dog, [2] with the pedicle as the eye, the transverse process as the nose, the superior articular facet as the ear and the inferior articular facet as the front leg, spinous process as the body.
X-ray of lumbar hyperlordosis Measurement and diagnosis of lumbar hyperlordosis can be difficult. Obliteration of vertebral end-plate landmarks by interbody fusion may make the traditional measurement of segmental lumbar lordosis more difficult.
Lateral lumbar X-ray of a 34-year-old male. The lumbar curve is more marked in the female than in the male; it begins at the middle of the last thoracic vertebra, and ends at the sacrovertebral angle. It is convex anteriorly, the convexity of the lower three vertebrae being much greater than that of the upper two.
Once imaging is deemed necessary, a combination of plain radiography, computed tomography, and magnetic resonance imaging may be used. Images are most often taken of the lumbar spine due to spondylolisthesis most commonly involving the lumbar region. [7]
Retrolistheses are most easily diagnosed on lateral x-ray views of the spine. Views where care has been taken to expose for a true lateral view without any rotation offer the best diagnostic quality. Retrolistheses are found most prominently in the cervical spine and lumbar region but can also be seen in the thoracic area.
X-ray of Bertolotti's syndrome (in this case, right transverse mega-apophysis of L5 with pseudoarticulation with the sacral ala). Woman 67 years old. Bertolotti's syndrome is a commonly missed cause of back pain which occurs due to lumbosacral transitional vertebrae (LSTV).
On an anterior oblique radiograph of the lumbar spine, the pars is the neck of the imaginary Scottie dog; the Scottie dog's eye is the pedicle, [3] its hindlegs the spinous process, its nose the transverse process, its ear the superior articular facet and its forelegs the inferior articular facet. [4]
Historically the procedure involved the injection of a radiocontrast agent into the cervical or lumbar spine, followed by several X-ray projections. Today, myelography has largely been replaced by the use of MRI scans , although the technique is still sometimes used under certain circumstances – though now usually in conjunction with CT ...
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