Name of the Procedure:

Radiologic Examination, Spine; Thoracolumbar Junction, Minimum of 2 Views

Summary

A radiologic examination of the thoracolumbar junction involves taking at least two X-ray images of the area where the thoracic (mid-back) and lumbar (lower back) regions of the spine meet. This procedure helps diagnose issues related to this specific portion of the spine.

Purpose

The procedure addresses problems like spinal fractures, deformities, arthritis, or other abnormalities. The goal is to obtain clear images that help physicians diagnose and plan treatment for these conditions.

Indications

• Persistent back pain localized to the thoracolumbar region
• Suspected spinal injuries or fractures from trauma
• Signs of spinal deformities such as scoliosis or kyphosis
• Evaluation of existing spine conditions like arthritis
• Follow-up on previous spinal surgery

Preparation

• Typically, no special preparation like fasting is required.
• Patients may be asked to wear a hospital gown and remove any jewelry or metal objects.
• Inform the radiology team about any possibility of pregnancy.

Procedure Description

1. The patient is positioned lying down or standing, depending on the views required.
2. A lead apron may be used to protect parts of the body from radiation.
3. At least two X-ray images are taken from different angles to get a complete view of the thoracolumbar junction.
4. The radiologic technologist ensures the patient remains still during the imaging to prevent blurring.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The examination is performed in a radiology department within a hospital or an outpatient clinic equipped with X-ray facilities.

Personnel

• Radiologic Technologist
• Radiologist (to interpret the X-rays)

Risks and Complications

• Exposure to low levels of radiation (considered safe for most patients but should be minimized especially in pregnant women)
• Rare chance of allergic reaction if a contrast agent is used (not typical for standard X-rays)

Benefits

• Provides detailed images of the thoracolumbar junction, aiding in accurate diagnosis
• Helps in planning the appropriate treatment
• Non-invasive with minimal discomfort

Recovery

• No recovery time is usually needed.
• Patients can typically resume normal activities immediately after the procedure.
• Follow-up appointments may be scheduled to discuss the results with a physician.

Alternatives

• MRI (Magnetic Resonance Imaging) if soft tissue or nerve issues are suspected
• CT (Computed Tomography) scan for more detailed cross-sectional images
• Bone scan if infection or widespread bone disease is a concern

Patient Experience

• The procedure is generally painless.
• The patient might experience minor discomfort from staying still in certain positions.
• Pain management or comfort measures are usually unnecessary.