Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view
CPT4 code
Name of the Procedure:
Radiologic Examination of the Spine (Thoracic and Lumbar)
Common name: Scoliosis Evaluation X-ray
Technical term: Radiographic Examination, Entire Thoracic and Lumbar Spine (including Skull, Cervical, and Sacral Spine if performed); One View
Summary
In this radiologic procedure, an X-ray machine takes images of your entire spine, from your skull down to your sacral spine. The primary focus is on the thoracic and lumbar regions, but it can include the cervical spine and skull if needed. This is typically done to assess spine conditions like scoliosis.
Purpose
The procedure is used to diagnose and monitor spine abnormalities, such as scoliosis or other curvature deformities. The goal is to obtain a clear image of the spine in one view to identify any abnormal curves or structural issues.
Indications
- Symptoms such as back pain, uneven shoulder height, or an abnormal curve in the back
- Conditions like scoliosis or other spine deformities
- Routine evaluation in patients with a known spinal condition
Preparation
- No special preparation is usually required.
- Patients may be asked to remove any metallic items, such as jewelry or belts, which could interfere with the X-ray images.
- Inform the technician if there is any possibility of pregnancy.
Procedure Description
- The patient stands or lies down in a designated position against an X-ray detector.
- The radiologic technologist positions the patient to ensure a clear view of the entire spine.
- The X-ray machine takes a single image from the skull to the sacrum.
- In some cases, a lead apron may be used to shield other parts of the body from radiation.
Duration
The entire procedure typically takes about 10-15 minutes, including setup and positioning.
Setting
The procedure is performed in a radiology department within a hospital, outpatient clinic, or specialized imaging center.
Personnel
- Radiologic Technologist: to conduct the X-ray
- Radiologist: to interpret the X-ray images
- Additional staff may assist as needed
Risks and Complications
- Exposure to low levels of radiation, which is generally considered safe for most people.
- Rare chance of an allergic reaction to any contrast material, if used.
- Misinterpretation or unclear images may necessitate repeat imaging.
Benefits
- Provides a clear and detailed image of the entire spine.
- Helps in the accurate diagnosis and effective monitoring of spinal conditions.
- Non-invasive and relatively quick procedure.
Recovery
- No recovery time is needed; patients can return to normal activities immediately.
- Post-procedure instructions are generally not required unless otherwise indicated by the healthcare provider.
Alternatives
- MRI or CT scan for more detailed images.
- Physical examination and observation for minor cases.
- Each alternative has its pros and cons, such as differing levels of detail, cost, and exposure to radiation.
Patient Experience
During the procedure, patients may feel cold from the room or the detector plate but should not feel any pain. Some discomfort might arise from holding the required position. Post-procedure, no significant discomfort is expected, and normal activities can be resumed immediately.