Name of the Procedure:

Radiologic examination of the sacrum and coccyx (commonly called X-ray of the lower spine).

Summary

This procedure uses X-ray imaging to take detailed pictures of the sacrum and coccyx, which are the bones at the base of your spine. Typically, at least two different views (angles) are taken to provide a comprehensive assessment of these bones.

Purpose

The purpose of this procedure is to diagnose issues related to the sacrum and coccyx, such as fractures, dislocations, arthritis, infections, or tumors. It helps doctors understand the cause of symptoms like pain, swelling, or deformity in your lower back or tailbone area.

Indications

• Persistent pain in the lower back or tailbone area
• Suspected fractures or dislocations due to trauma
• Signs of arthritis or degenerative changes
• Infections or tumors suspected in the sacral or coccygeal region
• Monitoring of known conditions affecting the lower spine

Preparation

• No special preparation is usually needed.
• Inform the technician if you are pregnant or might be pregnant.
• Remove any metal objects, such as jewelry, from the area being examined.

Procedure Description

1. You will be asked to lie down on an X-ray table in specific positions to capture different views of your sacrum and coccyx.
2. The radiologic technologist will position the X-ray machine over the area of interest.
3. You may need to hold your breath briefly while the X-ray images are taken to prevent any motion blur.
4. Typically, at least two images will be taken from different angles.
5. The procedure is painless and non-invasive.

Duration

The procedure usually takes about 15 to 30 minutes.

Setting

This procedure is performed in a radiology department within a hospital or an outpatient clinic.

Personnel

A radiologic technologist conducts the X-ray procedure, while a radiologist (a doctor specialized in interpreting medical images) will review and interpret the X-ray results.

Risks and Complications

• Exposure to a small amount of radiation (minimized as much as possible)
• Rarely, if poorly positioned, images might not be clear, necessitating repeat imaging.

Benefits

• Provides clear images of the sacrum and coccyx to diagnose various conditions
• Helps in planning further treatment or intervention
• Non-invasive and quick procedure

Recovery

• No recovery time is needed; you can usually resume normal activities immediately.
• Follow-up appointments may be scheduled to discuss results and treatment options.

Alternatives

• MRI or CT scan for more detailed images
• Bone scan if an infection or specific bone pathology is suspected
• Ultrasound for soft tissue evaluation

Alternatives may offer more detailed images but typically involve higher costs, more time, and different preparatory steps.

Patient Experience

• The procedure is generally painless.
• You might feel slightly uncomfortable while holding still in specific positions.
• No significant post-procedure discomfort is expected.
• Discuss any concerns regarding pain or discomfort with the technologist before the procedure.