Thoracic spine x-ray

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Since the early 1900s, Baylor’s orthopaedics program has been helping people feel better. We perform nearly 12,500 orthopaedic surgeries every year. In addition to orthopaedic specialists on the medical staff at many Baylor facilities, we also offer focused centers including the Baylor Scoliosis Center, Baylor Spine Center, the Human Motion and Performance Lab and specialized outpatient therapy programs.
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Sections:
  • Definition
  • Alternative Names
  • How the Test is Performed
  • How to Prepare for the Test
  • How the Test Will Feel
  • Why the Test is Performed
  • What Abnormal Results Mean
  • Risks
  • Considerations
  • References
  • Definition

    A thoracic spine x-ray is an x-ray of the twelve chest (thoracic) vertebrae. The vertebrae are separated by flat pads of cartilage that cushion them.

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    Alternative Names

    Vertebral radiography; X-ray - spine; Thoracic x-ray; Spine x-ray; Thoracic spine films; Back films

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    How the Test is Performed

    The test is done in a hospital radiology department or in the health care provider’s office. You will lie on the x-ray table and will be asked to lay in different positions. If the x-ray is to determine an injury, care will be taken to prevent further injury.

    The x-ray machine will be positioned over the thoracic area of the spine. You will hold your breath as the picture is taken, so that the picture will not be blurry. Usually 2 or 3 x-ray views are needed.

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    How to Prepare for the Test

    Inform the health care provider if you are pregnant. Remove all jewelry.

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    How the Test Will Feel

    Th test causes no discomfort. The table may be cold.

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    Why the Test is Performed

    The x-ray helps evaluate bone injuries, disease of the bone, tumors of the bone, or cartilage loss.

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    What Abnormal Results Mean

    The abnormalities the test will pick up include fractures, dislocations, thinning of the bone (osteoporosis), and deformities in the curvature of the spine. The test may also detect bone spurs, disk narrowing, and degeneration of the vertebrae.

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    Risks

    There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits. Pregnant women and children are more sensitive to the risks of the x-ray.

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    Considerations

    The x-ray will not detect problems in the muscles, nerves, and other soft tissues, because they can't be seen well on an x-ray.

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    References

    Stevens JM, Rich PM, Dixon AK. The spine. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 60.

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    Review Date: 8/8/2009
    Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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