Name of the Procedure:

Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views

Summary

A radiologic examination of the lumbosacral spine involves taking X-ray images of the lower back. Bending views are specific positions where the patient bends forward or back to help assess the flexibility and alignment of the spine.

Purpose

This procedure is used to diagnose issues related to the lower spine, such as instability, abnormalities, or changes in alignment during movement. It helps doctors understand how the spine functions when it's bent and spot issues that may not be visible in standard X-rays.

Indications

• Chronic lower back pain.
• Suspected spinal instability.
• Degenerative spinal conditions.
• Post-surgical assessment.
• Abnormal spinal curvature (like scoliosis).

Preparation

• No special fasting is needed.
• Wear loose and comfortable clothing.
• Remove any metal objects (jewelry, belts).
• Inform the technician if you are pregnant or have any recent injuries.

Procedure Description

1. The patient is positioned on an X-ray table.
2. Initial images may be taken in a neutral (standing) position.
3. The patient then bends forward and backward as directed by the technician.
4. X-ray images are captured during these bending positions.
5. The process may be repeated to obtain 2 or 3 different views.

Tools Used: X-ray machine.

Anesthesia: Not required.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The procedure is performed in a radiology department, usually within a hospital or outpatient clinic.

Personnel

• Radiologic technologist.
• Radiologist for image interpretation.

Risks and Complications

• Low exposure to radiation.
• Rare risk of exacerbating pain during bending.
• Potential discomfort during the imaging process.

Benefits

• Accurate assessment of spine flexibility and alignment.
• Helps tailor treatment plans effectively.
• Can reveal issues not visible on standard X-rays.

Recovery

• No recovery time needed; patients can resume normal activities immediately.

• Follow any specific instructions given by your healthcare provider.

  Alternatives

• MRI or CT scan, which provide more detailed images but may not show functional issues as bending X-rays do.

• Standard X-rays for initial assessment.

  Pros and Cons of Alternatives:

• MRI: More detailed; expensive and less accessible.
• CT Scan: Detailed cross-sections; higher radiation exposure.
• Standard X-rays: Less detail but lower cost and radiation.

Patient Experience

• Patients might feel slight discomfort while holding the bending positions.
• No pain after the procedure.
• Pain management and comfort are ensured during the positioning for the X-rays.
• Quick return to regular activities.