Types of Spine MRI: Cervical, Thoracic, and Lumbar Explained
Understanding Spine
The vertebral column, also called the backbone or spine, is a flexible column of bones that runs down the back of the body and provides support, protection of the spinal cord and allows movement.
Lumbar and Sacral Spine (low back pain)
Pain and discomfort in the lumbar spine (low back) is very common. The lumbar spine MRI will show high quality images of bones, discs, nerves, and tissues. This will help the physician determine which of the discs is herniated, if you have spinal stenosis, if you have nerve compression and evaluate any causes of low back pain and sciatica. The lumbar spine contains the last five vertebrae L1 – L5 and sit between your rib cage and your pelvis. These bones are greater in size than the upper half of the spine because they are absorbing much more weight and force as well as comprising a larger part of the back.
The lumbar MRI looks at the lower part of the spinal column usually at the section with This imaging test is often recommended for patients with chronic low back pain, weakness in the legs or other symptoms of potential sciatica. A lumbar MRI can find:
Herniated or bulging discs creating nerve compression,
Lumbar spinal stenosis (narrowed spinal canal),
Degenerative disc disease,
Nerve root compression (radiculopathy)
Inflammatory and/or infectious processes
Fractures or misalignment within the vertebrae or pelvis
This test has some relevance when trying to assess conditions affecting the sciatic nerve or affecting function in the lower body, especially for patients who are relatively sedentary or have a history of heavy lifting. Your lumbar spine has 5 vertebrae (L1 through L5) referred to as the lumbar spine. Your lumbar spine attaches to the pelvis and must support most of the body’s weight and handle the loads of lifting and carrying various objects. For these reasons, the lumbar spine too has an inward (lordotic) C-shape.
Thoracic Spine (mid-back)
The thoracic spine is made up of T1-12 vertebrae in your mid-back. The thoracic vertebrae have an extremely important connection to your ability to access and use your hand, arm, fingers, chest muscles, abdominal muscles, reproductive organs, and bladder.
The thoracic spine is usually not affected as severely as the lumbar spine but these vertebrae can have herniated discs, fractures, or be afflicted with tumours. If the thoracic spine does have a problem, imaging such as MRI can correctly identify this and your provider or specialist will take care of the problem as directed in their scope of practice.
An MRI of the thoracic spine looks specifically at the mid back including T1-T12 vertebrae. Though thoracic MRI is the least frequently utilized compared to the lumbar and cervical spine, it is of great importance for more complicated or serious casework.
Compression fractures (mainly from osteoporosis or trauma)
Spinal cord lesions or inflammation
Thoracic disc disease (although it is rare)
Tumours within or adjacent to the spinal cord
Multiple sclerosis plaques or other demyelinating disorders
Infections (like discitis or osteomyelitis)
An MRI of the thoracic spine is a common scan if a patient presents with upper back pain, nerve symptoms, or simply an unexplained illness or feeling by doctors.
The cervical Spine (neck and upper back)
A Cervical spine MRI is in assessing a number of conditions in particular the herniated disc, bulging disc, joint pathologies or relation to trauma or injury to the spine or compression on your spinal cord.
If you have back pain or sciatica, a scan can be a very effective tool in determining the source of your pain.
A cervical MRI is the best method of imaging under the circumstances of pursuing other neck pain related problems, headaches or neurological symptoms that are stemming from the shoulders, arms or hands. A cervical MRI is helpful in helping you diagnose:
cervical disc herniation or degeneration
compression of the spinal cord
cervical spondylosis or arthritis
pinched nerves (cervical radiculopathy)
whiplash or traumatic injury
tumors or cysts related to the cervical spine
It is particularly impressive in patients with neurological symptoms such as tingling or numbness or demonstrable weakness in the upper limbs.
Frequently Asked Questions
Q. What is the spine and what does it do?
The spine, or backbone, is a column of 33 vertebrae that supports your body, protects the spinal cord, and enables movements like bending and twisting.
Q. What are the main parts of the spine?
The spine is divided into five regions: cervical (neck), thoracic (upper back), lumbar (lower back), sacrum, and coccyx (tailbone), each with a specific number of vertebrae.
Q. What is an MRI of the spine?
A spine MRI is a noninvasive imaging test that uses strong magnets and radio waves to create detailed pictures of the spine’s bones, discs, nerves, and surrounding tissues, without using radiation.
Q. Why is an MRI spine done?
Doctors order spine MRIs to diagnose causes of back pain, nerve problems, injuries, infections, tumors, or to plan surgeries and monitor post-surgical changes.
Q. How should I prepare for a spine MRI?
You may be asked to remove metal objects, wear a gown, and inform your doctor about any implants, allergies, or if you are pregnant. Usually, you can eat and take medicines as usual unless told otherwise.
Q. Is an MRI spine safe?
MRI is very safe; it does not use ionizing radiation. The magnetic field can have an effect on certain implants or devices, so you should always tell your doctor about any metal in your body,
Q. What conditions can I see on MRI spine?
A spine MRI can see herniated discs, spinal stenosis, tumors, infections, anatomical malformations, and injuries of the spinal cord or adjacent tissues.
Q. What will it feel like to do the MRI procedure?
The procedure is painless- the noise inside the scanner can be loud and it may feel confined at times. Some people can experience claustrophobia, however, you may be offered music and/or mild sedation if you request it.
Q. Are there risks or side effects with MRI spine?
There are no recognized long-term side effects. Very rarely, some individuals can react to the contrast dye used in some scans, however, this occurrence is much less likely than CT scans.
Q. How do I get my MRI spine results?
After the MRI, a radiologist will review the images and submit a report to your doctor who will discuss the results and next steps with you.
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