Skeletal survey

Skeletal survey
Diagnostics
ICD-9-CM	88.31

A skeletal survey is a series of X-rays of all the bones in the body, or at least the axial skeleton and the large cortical bones. A very common use is the diagnosis of multiple myeloma, where tumour deposits appear as "punched-out" lesions. The standard set of X-rays for a skeletal survey includes X-rays of the skull, entire spine, pelvis, ribs, both humeri and femora (proximal long bones). It has been found to be much more sensitive than MRI and isotope scan s to detect bone involvement in multiple myeloma.^[1]

Skeletal surveys are also used with suspected non accidental injury in children (under 2 years of age).

The NICE ^[2] guidelines state that 19 images of the child are taken.These are reported on by a consultant paediatric radiologist and are often copies are made. A skull CT is also done in connection with the radiographs.

A skeletal survey can also be some to see some skeletal dysplasia, usually all long bones are radiographed, but only one side of the extremities.

References

↑ Lecouvet F, Malghem J, Michaux L, Maldague B, Ferrant A, Michaux J, Vande Berg B (1999). "Skeletal survey in advanced multiple myeloma: radiographic versus MR imaging survey.". Br J Haematol 106 (1): 35–9. doi:10.1046/j.1365-2141.1999.01529.x. PMID 10444160.
↑ http://ep.bmj.com/content/early/2015/01/14/archdischild-2014-307533

Medical imaging (ICD-9-CM V3 87–88, ICD-10-PCS B, CPT 70010–79999)

X-ray/
medical radiography/
Industrial radiography

Medical:	Pneumoencephalography Dental radiography Sialography Myelography CXR Bronchography AXR KUB DXA/DXR Upper gastrointestinal series/Small-bowel follow-through/Lower gastrointestinal series Cholangiography/Cholecystography Mammography Pyelogram Cystography Arthrogram Hysterosalpingography Skeletal survey Angiography Angiocardiography Aortography Venography Lymphogram

Industrial:	Radiographic testing

3D / XCT

Medical:	CT pulmonary angiogram Computed tomography of the heart Computed tomography of the abdomen and pelvis Virtual colonoscopy CT angiography Computed tomography of the head Quantitative computed tomography Spiral computed tomography High resolution CT Whole body imaging Full-body CT scan X-ray microtomography Electron beam tomography

Industrial:	Industrial computed tomography

Other

Fluoroscopy

MRI

Ultrasound

Radionuclide

2D / scintigraphy

Cholescintigraphy Scintimammography Ventilation/perfusion scan Radionuclide ventriculography Radionuclide angiography Radioisotope renography Sestamibi parathyroid scintigraphy Radioactive iodine uptake test Bone scintigraphy Immunoscintigraphy

full body:	Octreotide scan Gallium 67 scan Indium-111 WBC scan

3D / ECT

SPECT gamma ray: Myocardial perfusion imaging

PET (positron):	Brain PET Cardiac PET PET mammography PET-CT

Optical laser

Thermography

Orthopedic surgery, operations/surgeries and other procedures on bones and joints (ICD-9-CM V3 76–81, ICD-10-PCS 0P–S)

Bones

Facial	Jaw reduction Dentofacial osteotomy Genioplasty/Mentoplasty Chin augmentation Orthognathic surgery

Spine	Coccygectomy Laminotomy Laminectomy Laminoplasty Corpectomy Facetectomy Foraminotomy Vertebral fixation Percutaneous vertebroplasty

Upper extremity	Acromioplasty

Lower extremity	Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus

General	Ostectomy Bone grafting Osteotomy Epiphysiodesis Reduction Internal fixation External fixation Tension band wiring

Cartilage

Joints

Spine	Arthrodesis Spinal fusion Intervertebral discs Discectomy Annuloplasty Arthroplasty

Upper extremity	Shoulder surgery Shoulder replacement Bankart repair Weaver–Dunn procedure Ulnar collateral ligament reconstruction Hand surgery Brunelli procedure

Lower extremity	Hip resurfacing Hip replacement Rotationplasty Anterior cruciate ligament reconstruction Knee replacement/Unicompartmental knee arthroplasty Ankle replacement Broström procedure Triple arthrodesis

General	Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: Arthrogram Arthrocentesis

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