What is a Ferguson view and when should it be ordered

A Ferguson view is an AP view of the lumbosacral junction taken with the x-ray tube angled 30° to 35° cephalad. The x-ray beam goes through the plane of the L5-S1 disc, permitting the anatomy of the lumbosacral junction to be well visualized. This view is ordered when it is difficult to visualize the L5-S1 level in patients with severe spondylolisthesis and to assess an intertransverse fusion at the L5-S1 level (Fig. 10-9).

Figure 10-9. Fergusion AP view of the lumbosacral junction. Note the absence of fusion between the transverse processes of L5 and the sacral ala.

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