72084 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views

Name of the Procedure:

Radiologic Examination, Spine, Entire Thoracic and Lumbar, Including Skull, Cervical, and Sacral Spine if Performed (e.g., Scoliosis Evaluation)

Summary

This procedure involves taking multiple X-ray images of the entire spine, including the thoracic, lumbar, cervical, sacral regions, and potentially the skull. It’s typically used to evaluate conditions like scoliosis. At least six views are taken to provide a comprehensive assessment.

Purpose

The primary purpose of this examination is to diagnose spinal deformities or abnormalities such as scoliosis, fractures, or degenerative diseases. The goal is to obtain detailed images that help in planning treatment or surgical interventions.

Indications

• Suspected or diagnosed scoliosis
• Persistent back pain without a clear cause
• Spinal fractures or trauma
• Degenerative spinal conditions
• Monitoring progression of diagnosed spinal conditions

Preparation

• Patients may be asked to remove jewelry, eyeglasses, and any metal objects.
• Wear a hospital gown provided by the radiology department.
• Pregnant women should inform the technician beforehand.

Procedure Description

1. The patient is positioned on the X-ray table, and sometimes standing images are taken.
2. Several X-rays from different angles (at least six) are captured to encompass the entire spine.
3. The radiologic technologist uses a lead apron to protect parts of the body not being imaged.
4. For each view, the patient must hold still and may be asked to hold their breath momentarily to avoid image blur.
5. The images are then processed and reviewed by a radiologist.

Duration

The procedure typically takes about 20 to 40 minutes, depending on the number of views required.

Setting

The procedure is performed in a radiology department within a hospital or at an outpatient imaging center.

Personnel

• Radiologic Technologist
• Radiologist for image review

Risks and Complications

• Minimal exposure to radiation, which is significantly regulated and monitored.
• Rare possibility of allergic reaction to contrast material if used, though unlikely in standard X-rays.
• Minor discomfort from holding certain positions.

Benefits

• Provides a comprehensive view of the entire spine, aiding accurate diagnosis.
• Helps in early detection and treatment planning.
• Non-invasive with minimal discomfort.

Recovery

• No recovery time is typically required.
• Patients can resume normal activities immediately after the procedure.
• Follow-up appointments may be based on the findings.

Alternatives

• MRI or CT scan for more detailed images if needed.
• Ultrasound, less commonly used for spinal evaluations.
• Physical examination and history might suffice for initial screening, but will not provide the same detailed internal view.

Patient Experience

• Patients might experience slight discomfort from holding still or assuming specific positions, but generally, the procedure is painless.
• The radiologic technologist will ensure the patient's comfort and provide instructions throughout the process.
• Pain management and comfort measures are rarely needed.

By adhering to this structured approach, the procedure allows for thorough evaluation while maintaining patient safety and comfort.