Radiologic examination, spine, thoracolumbar, standing (scoliosis)
CPT4 code
Name of the Procedure:
Radiologic Examination, Spine, Thoracolumbar, Standing (Scoliosis)
Summary
In this procedure, X-rays are taken of the thoracolumbar region (the part of the spine that includes the lower thoracic and upper lumbar vertebrae) while the patient is standing. It is particularly used for evaluating scoliosis, a condition where the spine curves sideways abnormally.
Purpose
The primary purpose of this examination is to diagnose and assess the severity and progression of scoliosis. It helps in planning the appropriate treatment strategy. The expected outcomes include accurate measurement of spine curvature and assessment of any structural abnormalities.
Indications
- Visible signs of spine curvature
- Back pain associated with spine deformity
- Family history of scoliosis
- Monitoring known scoliosis for changes over time
- Uneven shoulders, waist, or hips
Preparation
- No special preparation is needed for this procedure.
- Patients should wear comfortable clothing and may be asked to change into a hospital gown.
- Removal of any metal items that might interfere with the imaging.
Procedure Description
- The patient stands upright against an X-ray machine with arms at their sides or in a specified position as instructed by the radiologic technologist.
- The technologist takes multiple images of the spine from different angles.
- These images are used to measure the degree of curvature and to identify any structural issues.
- No anesthesia or sedation is required as this is a non-invasive procedure.
Duration
The procedure typically takes about 10-15 minutes.
Setting
The procedure is usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologic Technologist
- Radiologist (for image interpretation)
Risks and Complications
- Exposure to a small amount of radiation, although it is minimized as much as possible.
- Repeated exposure may be necessary for monitoring purposes, which increases cumulative radiation dose.
- Generally, there are no complications from the procedure itself.
Benefits
- Accurate diagnosis and measurement of scoliosis.
- Valuable information for planning treatment.
- Minimal discomfort with no invasive steps.
Recovery
- No recovery time is required; patients can resume normal activities immediately.
- Follow-up appointments may be necessary to discuss results and treatment plans.
Alternatives
- MRI or CT scan for a more detailed view of spine anatomy.
- Physical examination and observation for mild or progressing scoliosis.
Patient Experience
Patients might experience slight discomfort from standing in different positions during the X-ray, but there is no pain associated with the procedure. Any discomfort is usually brief and manageable.