Back X-Rays (Spine X-Rays)

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What is the test?

Doctors have used x-rays for over a century to see inside the body in order to diagnose a variety of problems, including cancer, fractures, and pneumonia. During this test, you usually stand in front of a photographic plate while a machine sends x-rays, a type of radiation, through your body. Originally, a photograph of internal structures was produced on film; nowadays, the image created by the x-rays goes directly into a computer. Dense structures, such as bone, appear white on the x-ray films because they absorb many of the x-ray beams and block them from reaching the plate. Hollow body parts, such as lungs, appear dark because x-rays pass through them. (In some other countries, like the United Kingdom, the colors are reversed, and dense structures are black.)

Doctors use back x-rays to examine the vertebrae in the spine for fractures, arthritis, or spine deformities such as scoliosis, as well as for signs of infection or cancer. X-rays can be taken separately for the three areas of the spine: the cervical spine (neck), thoracic spine (middle back), and lumbar spine (lower back). Occasionally, doctors x-ray the pelvis to help diagnose the cause of back pain.

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How do I prepare for the test?

You have to remove all clothing, undergarments, and jewelry from your upper body. You may be asked to wear a hospital gown.

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What happens when the test is performed?

You either stand or lie down while a technician takes the x-rays. He or she positions you against the photographic plate (which looks like a large board) to get the clearest pictures. A front view and a side view are usually taken.

For cervical spine x-rays, the technician tells you to open your mouth as wide as you can before taking some of the pictures; this is done to avoid having your teeth block the view of the bones at the top of your spine.

The technician leaves the room or stands behind a screen while controlling the x-ray camera. To avoid a blurred image, he or she tells you to remain as still as possible, including holding your breath, before taking each picture.

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What risks are there from the test?

The amount of radiation from x-ray tests is too small to be likely to cause any harm. However, if you're pregnant, talk to your doctor. Radiation may be harmful to a developing fetus.

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Must I do anything special after the test is over?

No.

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How long is it before the result of the test is known?

Although digital images are often available immediately, it may take additional time for a doctor to examine them. You'll probably get the results later in the day.

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