Spondylosis is a degenerative condition of the spine characterized
by damage to the intervertebral discs, as well as changes in bone structure and
soft tissues. Lumbosacral radiographic examination for spondylosis cases at the
Radiology Department of Bhayangkara Level III Hospital Ambon is performed
using AP and lateral projections with a perpendicular central ray. This differs
from the theoretical approach, which typically uses an angled central ray. The
purpose of this study is to examine the radiographic procedure for lumbosacral
imaging in spondylosis cases and to determine the rationale behind the use of a
perpendicular central ray in the lateral projection. Methods: This research is a
qualitative study with a case study approach. Data were collected through
observation, interviews, and documentation involving three radiographers, one
radiologist, and one validator. Results: Lumbosacral radiographic examination for
spondylosis cases does not require special preparation. The equipment and
materials used include an X-ray machine, a 35 x 43 cm cassette/imaging plate, a
computer, and film processing tools. The examination technique uses AP and
lateral projections with a perpendicular central ray. Conclusion: The radiographic
technique for lumbosacral examination in spondylosis cases at the Radiology
Department of Bhayangkara Level III Hospital Ambon uses AP and lateral
projections. The reason for using a perpendicular central ray in the lateral
projection is that radiographers follow the Standard Operating Procedures (SOP)
in the hospital, and this approach is already sufficient to support diagnosis by the
radiologist