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OR Lateral L-Spine images

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Can anyone give me advice on how to get a better lateral L spine x-ray with the screws lined up during a fusion while using a c-arm? I work in the OR and during the lumbar spine fusion the surgeons want a lateral x-ray where the screws are align with each other and I'm having a hell of a time figuring out which way to move the c-arm to make the image look the way they want it. At our hospital we call it the "wig wag" and I'm not sure if everyone else calls it that, but to try to explain... while the c arm is in a lateral position, you can "wag" it so it makes the screws align.... How can you figure out which way to move it? Is there a way I can do it without guessing and moving the c-arm one way and messing up and exposing everyone and the patient? Thanks!!

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source https://www.reddit.com/r/Radiology/comments/hwsofg/or_lateral_lspine_images/
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