Radiologic examination, spine; scoliosis study, including supine and erect studies
CPT4 code
Name of the Procedure:
Radiologic Examination, Spine; Scoliosis Study, including Supine and Erect Studies
Summary
A scoliosis study is an X-ray procedure used to examine the spine. It involves taking X-ray images of the spine while the patient is lying down (supine) and standing up (erect) to assess for any curvature or abnormalities.
Purpose
The procedure helps diagnose scoliosis, which is a lateral curvature of the spine. It aims to evaluate the degree and pattern of spinal curvature, monitor progression, and guide treatment decisions such as bracing or surgery.
Indications
- Suspected scoliosis due to visible spine curvature
- Uneven shoulders or hips
- Back pain or discomfort
- Routine follow-up for individuals with known scoliosis
- Pre-surgical evaluation for spinal procedures
Preparation
- Wear loose, comfortable clothing without metal fasteners.
- Remove jewelry and other metal objects.
- Inform the doctor about any chance of pregnancy.
- No fasting or medication adjustments are typically required.
Procedure Description
- Positioning: The patient will lie down on the X-ray table (supine) and then stand up (erect) for different sets of images.
- Imaging: The radiologic technologist will position the X-ray machine over the spine and take images from multiple angles.
- Alignment: Careful alignment is maintained to ensure accurate imaging.
- Repeat for Erect Study: The patient is asked to stand, and additional images are taken in a similar manner.
- Completion: The entire procedure is quick; the images are reviewed for clarity.
Duration
The procedure typically takes about 30 minutes.
Setting
The procedure is conducted in a hospital’s radiology department or an outpatient imaging center.
Personnel
- Radiologic technologists who perform the imaging.
- Radiologists who interpret the X-ray results.
- Sometimes orthopedic specialists who may be involved in patient care decisions.
Risks and Complications
- Exposure to a low level of radiation, although generally considered very safe.
- Minimal risk of discomfort from positioning during the X-rays.
- Very rare risk of allergic reaction to contrast material if used (though not typical for scoliosis studies).
Benefits
- Accurate assessment of spinal curvature.
- Informs treatment plans and monitors disease progression.
- Helps in diagnosing and evaluating the severity of scoliosis.
Recovery
- No recovery time required; patients can resume normal activities immediately.
- Follow-up appointments may be scheduled to discuss results with healthcare providers.
Alternatives
- MRI or CT scans may offer more detailed imaging but are usually reserved for complex cases.
- Physical examinations are essential but less precise for detailed curvature assessment.
- Observation or regular monitoring may be an option for mild cases.
Patient Experience
- Generally painless; slight discomfort might come from maintaining required positions.
- No need for anesthesia; patients remain fully awake.
- Radiologic technologists will provide instructions to ensure the patient's comfort.
Pain management or comfort measures are not typically required as the procedure is quick and non-invasive.