Lumbosacral Spine CT – Indications, Procedures, Results

A lumbosacral spine CT is a computed tomography scan of the lower spine and surrounding tissues.

How the Test is Performed

You will be asked to lie on a narrow table that slides into the center of the CT scanner. You will need to lie on your back for this test.

Once inside the scanner, the machine’s x-ray? beam rotates around you.

Small detectors inside the scanner measure the number of x-rays that make it through the part of the body being studied. A computer takes this information and uses it to create a number of images, called slices. These images can be stored, viewed on a monitor, or printed on film. Three-dimensional models of organs can be created by stacking the individual slices together.

You must be still during the exam because movement causes blurred images. You may be told to hold your breath for short periods.

In some cases, an iodine-based dye, called contrast, may be injected into your vein before images are taken. Contrast can highlight specific areas inside the body, which creates a clearer image.

In other cases, a CT of the lumbosacral spine is done after injecting contrast dye into the spinal canal during a lumbar? puncture to further check for pressure on the nerves.

The scan usually lasts a few minutes.

How to Prepare for the Test

You should remove all jewelry or other metal objects before the test. This is because they may cause inaccurate and blurry images.

How the Test will Feel

The x-rays are painless. Some people may have discomfort from lying on the hard table.

Contrast may cause a slight burning sensation, a metallic taste in the mouth, and a warm flushing of the body. These sensations are normal and usually go away within a few seconds.

Why the Test is Performed

CT rapidly creates detailed pictures of the body. A CT of the lumbosacral spine can evaluate fractures and changes of the spine, such as those due to pain?, swelling?, stiffness?, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।" data-rx-term="arthritis" data-rx-definition="Arthritis means joint inflammation causing pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।">arthritis? or deformities.

What Abnormal Results Mean

CT of the lumbosacral spine may reveal the following conditions or diseases:

• Cyst
• Herniated disk
• Infection?
• Cancer that has spread to the spine
• pain? and stiffness?. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।" data-rx-term="osteoarthritis" data-rx-definition="Osteoarthritis is wear-and-tear joint disease causing pain and stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।">Osteoarthritis?
• Osteomalacia  (softening of the bones)
• Pinched nerve
• Tumor
• Vertebral fracture?  (broken spine bone)

Risks

The most common type of contrast given into a vein contains iodine. If a person with an iodine allergy? is given this type of contrast, hives , itching , nausea? , breathing difficulty , or other symptoms may occur.

If you have kidney problems, insulin? is low or not working well. সহজ বাংলা: রক্তে চিনি বেশি থাকার রোগ।" data-rx-term="diabetes" data-rx-definition="Diabetes is a condition where blood sugar stays too high because insulin is low or not working well. সহজ বাংলা: রক্তে চিনি বেশি থাকার রোগ।">diabetes? or are on kidney dialysis, talk to your health care provider before the test about your risks.

CT scans and other x-rays are strictly monitored and controlled to make sure they use the least amount of radiation. The risk associated with any individual scan is small. The risk increases when many more scans are performed.

In some cases, a CT scan? may still be done if the benefits greatly outweigh the risks. For example, it can be more risky not to have the exam if your provider thinks you might have cancer.

Pregnant or breastfeeding women should consult their provider about the risk of CT scans to the baby. Radiation during pregnancy can affect the baby, and the dye used with CT scans can enter breast milk.