They are not advised for routine screening of LBP. The authors suggest dynamic radiographs of the lumbar spine are only justified in surgical patients. And neither one of those patients needed surgery. 11 Their application was performed according to the suspected type of instability and the 3. Upright, weight-bearing flexion and extension MRI of the cervical spine was performed in one of the studies. When used to assess fusions, the goal is to detect any significant motion between vertebrae. The parameters were mainly established in lateral flexion and extension x-rays of the cervical spine, followed by dynamic CT imaging and MRI. Diagnosis and treatment decisions are made, in part, based on the clinician’s assessment of these x-rays. Only two patients out of 342 had findings on the dynamic F/E X-ray that weren’t seen in standard X-rays. Flexion-extension x-rays are commonly used clinically to assess stability of the cervical spine, for several medical conditions. The films were also measured and analyzed using digital measuring tools and computer software. The panel included a musculoskeletal radiologist, a spine surgeon, and an orthopedic resident. The series included AP, lateral, and dynamic F/E radiographs. Flexion-extension x-rays are commonly used clinically to assess stability of the cervical spine, for several medical conditions. But should every patient with LBP have this type of X-ray at the initial (first) exam? According to the results of this study, the answer is No.Ī series of X-rays were taken and reviewed by three experts. This type of X-ray is called a dynamic radiograph.ĭynamic F/E X-rays may be taken to look for spinal instability. This allows for a better idea of how the spine looks in a functional position. In this study, researchers reviewed the use of flexion-extension (F/E) X-rays for patients with LBP.įE X-rays are taken with the patient bedning forward or extending backward as far as possible while in the standing position. Your doctor may also choose to take a three-foot standing X-ray. When compared with a traditional X-ray, flexionextension X-rays give your doctor more information about possible instability between vertebrae. FE X-rays are taken with the patient bedning forward or extending backward as far as possible while in the standing position. A flexionextension X-ray is taken while you bend forward and then backward. The value of X-rays in diagnosing low back pain (LBP) has been questioned in the past. In this study, researchers reviewed the use of flexion-extension (F/E) X-rays for patients with LBP. Standing AP and lateral X-rays are often ordered when back and/or leg pain doesn’t go away.
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