X-ray of lumbar the spine
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Author:
Mikael Häggström [notes 1]
Planning
Choice of modality
- CT of the lumbar spine in trauma is generally the first choice.
- X-ray of fractures of the lumbar spine is recommended as the first choice in:
- Suspicion of a vertebral compression fracture alone, such as in an elderly patient with typical symptoms.
- Low clinical suspicion of a fracture, according to US guidelines,[1] but low dose CT is still arguably superior if the local department has a low dose protocol (with up to only slightly larger radiation dose than X-ray).[2]
- In children, according to Australian guidelines,[3] but again, low dose CT is arguably superior if there is a local low dose protocol.[2]
- As a follow-up of fractures, since it is almost always enough to check for change in position.[notes 2]
- MRI of the lumbar spine or CT is indicated in children if there are neurological signs.[3]
Other indications
X-ray of the lumbar spine can be used in the follow-up of many disorders in order to detect a change in position of bones or radiographically distinguishable fragments thereof. Otherwise, CT or MRI is generally required.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
- ↑ NU Hospital Group, Sweden
References
- ↑ USA:. ACR Appropriateness Criteria. American College of Radiology. Last review date: 2012
- ↑ 2.0 2.1 Alshamari, Muhammed; Geijer, Mats; Norrman, Eva; Lidén, Mats; Krauss, Wolfgang; Wilamowski, Franciszek; Geijer, Håkan (2015). "Low dose CT of the lumbar spine compared with radiography: a study on image quality with implications for clinical practice ". Acta Radiologica 57 (5): 602–611. doi: . ISSN 0284-1851.
- ↑ 3.0 3.1 Australia:. Radiology - Acute indications. The Royal Children's Hospital Melbourne. Retrieved on 2018-12-14.