Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Spine, Lumbosacral; Complete, Including Bending Views (Minimum of 6 Views)
Summary
A radiologic examination of the lumbosacral spine involves taking X-ray images of the lower back and the sacrum. This particular procedure includes both standard and bending (flexion/extension) views to capture a comprehensive assessment of spinal health and mobility.
Purpose
This procedure helps diagnose conditions affecting the lumbar (lower back) and sacral regions of the spine. It is commonly used to detect issues such as bone fractures, arthritis, disc degeneration, scoliosis or other spinal deformities, and to evaluate spinal alignment and stability.
Indications
- Persistent lower back pain
- Suspected spinal deformities (such as scoliosis or kyphosis)
- History of trauma or injury to the back
- Symptoms suggestive of spinal instability or spondylolisthesis
- Pre-surgical and post-surgical evaluation of spinal surgeries
Preparation
- No special preparation is typically required
- Removal of any metallic objects or clothing that may interfere with the X-ray images
- Patients may be advised to inform the technician about any possibility of pregnancy
Procedure Description
- The patient will be asked to change into a medical gown if necessary.
- The patient will be positioned on the X-ray table, starting with standard views (e.g., anteroposterior and lateral views).
- Additional bending views will be taken, where the patient bends forward and backward to assess spinal flexibility and stability.
- The X-ray technician will guide the patient into different positions as needed to obtain the required images.
- Lead aprons or shields may be used to protect parts of the body from unnecessary radiation exposure.
Duration
The entire procedure typically takes about 30 minutes.
Setting
This examination is usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologic technologist (performs the X-ray imaging)
- Radiologist (interprets the X-ray images)
Risks and Complications
- Exposure to low levels of radiation (minimized as much as possible)
- Discomfort during bending and positioning, especially for patients with existing back pain
- Rarely, allergic reactions to contrast materials if used
Benefits
- Accurate diagnosis of spinal conditions
- Helps in planning effective treatment strategies
- Provides comprehensive evaluation of spinal health and function
Recovery
- No recovery time is generally needed; patients can resume normal activities immediately
- Follow-up appointments may be scheduled to discuss the findings and subsequent treatment options
Alternatives
- MRI (Magnetic Resonance Imaging) for detailed soft tissue assessment
- CT (Computed Tomography) scans for more detailed imagery of bone structures
- Physical examination and simple plain X-rays for less comprehensive evaluations
Patient Experience
- The procedure is generally painless
- Some patients may feel discomfort during certain positions or bending movements
- Minimal exposure to radiation, with measures in place to ensure safety
- Technicians provide guidance and support to ensure patient comfort throughout the process