A spine X-ray is an imaging test that uses electromagnetic waves to take detailed pictures of the bones in your neck and back. You might need spinal X-rays if you were born with structural spine issues or if you have pain from trauma or conditions like arthritis or osteoporosis.
A spine X-ray is an imaging test that uses electromagnetic waves to take pictures of the bones in your neck and back. On an X-ray, your bones (in this case, your vertebrae) show up as white and your soft tissues (like muscle and fat) show up as shades of gray. Spinal X-rays help healthcare providers figure out why you have neck pain or back pain.
Spine X-rays have different names depending on which part of your spine needs imaging.
Your spine consists of sections, which include your:
So, the name of your X-ray depends on where you’re having issues. For example:
A spine X-ray can give your healthcare provider information about a range of neck and back conditions, including:
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During a spine X-ray, a radiologist uses an X-ray tube to pass a small amount of radiation through your body and onto an X-ray detector. (Photographic film is one type of X-ray detector. But there are also other types, like specially coated plates.)
Soft tissues like your skin, organs and muscles can’t absorb the X-ray energy passing through your body. But your bones absorb it. As a result, your soft tissues appear gray on the X-ray and your bones appear white.
Typically, you don’t need to do anything to prepare for a spine X-ray. You can eat and drink normally prior to your appointment. Your provider will let you know if you need to do anything specific.
It might help to wear comfortable clothing and leave jewelry at home. Usually, you’ll need to remove any metal jewelry or clothing anyway so it doesn’t interfere with your X-ray images.
It depends. For most spine X-rays, you’ll lie down on an exam table, usually on your back. This means the X-ray tube will be over your body while the X-ray detector is underneath you.
But in some cases, you might need to stand up for a spine X-ray. In these instances, the X-ray tube will be in front of you while the X-ray detector is behind you.
The day of your spine X-ray, your radiologist will:
Spine X-rays usually take about 15 minutes to complete. Depending on how many pictures your provider needs, it might take a little longer.
X-rays don’t cause pain. But if your back is sore or tender in certain areas, you might feel some discomfort when your radiologist positions you. They’ll talk you through it and keep you as comfortable as possible during the test.
X-rays are generally safe for most people. Repeated exposure to high-energy radiation can cause DNA damage over time. But when it comes to occasional X-rays for medical diagnosis, the images aren’t strong enough to cause this type of damage.
Your provider will give you a protective lead apron to wear during your test. This helps eliminate any excess radiation.
To reduce excessive exposure to radiation:
Your radiologist will prepare the images and send them to your primary care physician. Once your physician reviews your X-rays, they’ll discuss the results with you. This usually takes a day or two. Your healthcare provider will tell you what they see on your X-rays, explain what it all means and tell you what comes next.
If your provider needs additional information, they may recommend a myelogram. During this procedure, a radiologist injects a contrast dye into your spinal canal before taking X-rays and a CT (computed tomography) scan. The contrast material highlights areas of concern and helps your provider give you an accurate diagnosis.
A note from Cleveland Clinic
Neck and back pain can seriously hinder your comfort and quality of life. Spine X-rays are important for finding out why you have pain. They can show your provider things they can’t see during a physical exam, like fractures, slipped disks or curvatures. Getting a spinal X-ray helps your provider find the cause of your pain so they can recommend appropriate treatment.
Last reviewed by a Cleveland Clinic medical professional on 09/01/2023.
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