LAB TEST
Lumbosacral spine x-ray
A lumbosacral spine x-ray is a picture of the small bones (vertebrae) in the lower part of the spine. This area includes the lumbar region and the sacrum, the area that connects the spine to the pelvis.
How the Test is Performed
The test is done in a hospital x-ray department or your health care provider's office by an x-ray technician. You will be asked to lie on the x-ray table in different positions. If the x-ray is being done to diagnose an injury, care will be taken to prevent further injury. The x-ray machine will be placed over the…
How to Prepare for the Test
Tell your provider if you are pregnant. Take off all jewelry.
How the Test will Feel
There is rarely any discomfort when having an x-ray, although the table may be cold.
Why the Test is Performed
Often, your provider will treat a person with low back pain for 4 to 8 weeks before ordering an x-ray. The most common reason for lumbosacral spine x-ray is to look for the cause of low back pain that: Occurs after injury Is severe Does not go away after 4 to 8 weeks Is present in an older person
What Abnormal Results Mean
Lumbosacral spine x-rays may show: Abnormal curves of the spine Abnormal wear on the cartilage and bones of the lower spine, such as bone spurs and narrowing of the joints between the vertebrae Cancer (although cancer often cannot be seen on this type of x-ray) Fractures Signs of thinning bones ( osteoporosis )…
Risks
There is low radiation exposure. X-ray machines are checked often to make sure they are as safe as possible. Most experts feel that the risk is low compared with the benefits. Pregnant women should not be exposed to radiation, if at all possible. Care should be taken before children receive x-rays.
Considerations
There are some back problems that an x-ray will not find. That is because they involve the muscles, nerves, and other soft tissues. A lumbosacral spine CT or lumbosacral spine MRI are better options for soft tissue problems.
References
Contreras F, Perez J, Jose J. Imaging overview. In: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopaedic Sports Medicine . 5th ed. Philadelphia, PA: Elsevier; 2020:chap 7. Kapoor G, Toms AP. Current status of imaging of the musculoskeletal system. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds.…
This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 27/04/2023).
This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.