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Indication and preparation for the x-ray of the spine: what does the study show?
X-ray( X-ray) is the study of the organs of the human body using X-rays.
In this case, the image of the investigated object is projected onto a sensitive film or photographic paper.
The doctor receives a projection image of the organ through the passage through it of the rays of the X-ray.
The content of the article
- What is the X-ray
- What pathology allows you to identify?
- When an X-ray is prescribed
- Examination of the lumbosacral
- Diagnosis of the cervical department
- Radiography of the thoracic spine
- Preparing for radiography
- How is the diagnosis performed?
- Pros and cons of the
- study What is better: radiography or MRI
- Who is not assigned this type of diagnosis?
- Affordable price
What is the X-ray
Obtaining an image on a special sensitive film is based on the fact that the X-ray radiation is weakened when it passes through these or other tissues.
As a result, an image with a different intensity is obtained on the film. The so
It is necessary that the images are taken in at least two projections. This is due to the fact that the three-dimensional object is being examined, and the radiograph is a flat, two-dimensional image.
The location of the pathological area can be seen just in two projections.
The power of X-ray radiation depends on the organ under examination, the dimensions of the patient. The recording of the same image in the RF is, as a rule, carried out on a sensitive film.
What pathology allows you to identify?
To date, this type of diagnosis remains one of the most popular. This is due to its simplicity, cheapness and high informativeness.
Compared with magnetic resonance imaging and computed tomography, the radiography of the spine is more accessible.
So, that shows the X-ray of the spine:
- curvature of the spine( lordosis, kyphosis, scoliosis, etc.);
- changes in intervertebral joints;
- subluxation of the spine;
- compression injuries;
- tumors of the spine;
- infectious organ damage( eg, as a result of tuberculosis).
However, radiography does not allow you to see the pathology of the intervertebral discs.
According to this study, you can indirectly judge the state of this part of the spine, which has some value in complex diagnosis.
When an X-ray is assigned to
Radiography of the spine is prescribed for the following purposes:
- determining the cause of pain in the spine or extremities;
- appearance of a feeling of weakness or numbness in the spine;
- diagnosis of changes in intervertebral discs;
- definition of the presence of spinal injuries of different origin;
- revealing osteochondrosis and inflammatory processes in the spine;
- diagnosis of curvature of the spine of various forms and origin;
- definition of congenital abnormalities of the spine in newborns;
- diagnosis of vertebral arteries.
Study of the lumbosacral
X-ray of the lumbosacral spine is a simple and informative procedure. It allows you to detect even the smallest abnormalities in this part of the spine.
A doctor can adequately assess the condition of the lumbosacral section, the condition of the cortical layer. The structure of the vertebrae and their soft tissues are clearly visible.
This study is prescribed for such pathological conditions:
- pain in the back and extremities;
- periodic feeling of numbness of the limbs;
- curvature of the spine;
- herniated intervertebral disc;
- suspected of a swelling of the spine;
- if the patient has a feeling of weakness;
- complications after fractures;
- congenital malformations of the spine.
Diagnosis of the cervical department
In this department of the spine, injuries occur quite often, as it is very vulnerable and is weakly protected by muscle tissue.
Meanwhile, hernia, osteochondrosis in this department develops quickly enough and can cause huge harm to health.
Doctors recommend doing an x-ray of the cervical spine in the presence of such indications:
- permanent headaches of various origin;
- dizziness, which occur often and for no apparent reason;
- appearance of "flies" before your eyes, ripples in your eyes;
- numbness of hands and feet, change in gait.
The advantage of such a study is low cost, an opportunity to see all the changes in the cervical vertebrae. The doctor can also see the presence of formations on the bones - osteophytes.
In addition, the roentgenogram of this department of the spine shows such changes:
- effects of scoliosis, birth injuries;
- fractures in the cervical region;
- mixing of vertebrae;
- neoplasms of various nature;
Radiography of the thoracic spine
This study provides an opportunity to obtain a detailed image of the thoracic vertebrae. According to the images, the doctor will judge the state of the intervertebral discs, the presence of curvature of the spine, as well as other deformities of the organ.
X-ray provides an opportunity to see:
- all thoracic vertebrae;
- pathological curvature of the spine;
- presence of neoplasms in the spine;
- infection of the thoracic region by an infectious process.
It usually happens that the lower two or three vertebrae are not visible in the picture clearly. This is due to the fact that they overlap with dense tissues of the abdominal cavity.
It should also be taken into account that with the development of pronounced thoracic kyphosis, the image of the vertebrae can be significantly distorted.
Radiography of this department is indicated to do with such diseases:
- pain in the abdomen, breasts;
- dizziness, which occurs when the head is tilted or bent;
- dizziness or pain, resulting from unsuccessful turns of the neck;
- numbness of the extremities.
Preparation for radiography
Preparation for examination depends on the department of the spine, which must be diagnosed.
Preparation for the X-ray of the lumbar spine includes such actions:
- exclusion from the diet of products stimulating gas generation, two to three for the procedure before;
- reception of enzyme preparations( eg Festal, Mezim), activated carbon;
- holding a cleansing enema on the eve of the study;
- the last meal should be no later than seven o'clock in the evening on the eve of radiography.
No special preparation is required when radiographing other parts of the spine.
How is the diagnosis carried out?
Before carrying out the diagnostic procedure, the patient must comply with all prescriptions of the doctor. First of all, in the doctor's office it is necessary to undress to the waist, and also to take off all jewelry.
During the diagnostic examination, the patient needs to lie down on his back, on his side, at the request of the doctor. For a fairly long period( and this may be about 10 - 15 minutes), one must lie still.
Patients who can not lie in one position for such a long time do not prescribe studies. The patient needs to be prepared for the fact that it is necessary to hold his breath at the moment when the doctor asks for it.
X-ray examination is often prescribed because it harms the body. The doctor tries to select the intensity of irradiation only in the minimum dose.
Pros and cons of the
study The positive qualities of this type of diagnosis include:
- the possibility of an immediate examination of the patient as soon as he turned to the clinic;
- X-ray equipment is available in almost every medical institution, so there is always an opportunity to take a picture in an emergency;
- low cost of diagnostics;
- it is possible to digitize the image;
- the patient's preliminary preparation in most cases is not necessary, which shortens the time for examination.
At the same time, the radiography of the spine has some disadvantages. Here's what you need to pay attention to in the first place:
- compared with other methods of research, radiography is the least informative;
- X-rays have a radiative effect on the body.
Which is better: X-ray or MRI
In order to understand which of these methods of diagnosis is better, one must know their purpose.
Tomography well shows abnormalities in soft tissues.
The choice in favor of radiography or MRI is done based on the diagnosis.
The doctor will definitely appoint the necessary examination and will never offer to do what is not needed.
Who is not assigned this type of diagnosis?
The main contraindication for such a diagnosis is pregnancy.
X-rays can adversely affect the condition of the fetus.
If the patient underwent a 4-hour study using a barium mixture, then the spine is also not radiographed.
The pictures are fuzzy and uninformative, if the patient can not stay for a long time still, as well as if he has obesity.
As X-ray units are available in many country clinics, it is not difficult to do a survey in Russia.
Contacting any clinic, you can go through the necessary procedures.
The price of radiography of the spine depends on the quality of the service, the authority of the clinic, the volume of services provided. It will also vary depending on the region.
Radiography of the spine - an accessible and informative examination. It allows to detect many pathologies of the development of the spine, trauma, neoplasms. It can be carried out in many emergency cases.
However, due to the specificity of the action of X-rays on the body , it is not recommended to conduct such a study very often .