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X-ray of the sacrum and coccyx (lateral view)

Published: August 9, 2026Updated: August 16, 2026

This imaging test uses low-dose radiation to create detailed pictures of the bones in your lower spine (sacrum) and tailbone (coccyx). It helps assess fractures, dislocations, or other structural issues.

Quick summary

["An X-ray can detect problems in your lower spine that may not be painful but could affect movement or cause other symptoms."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
98325-4
Short code
XR Sacrum+Coccyx Views Lat
Synonyms
XR Sacrum+Coccyx Views Lat
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
xr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Ordered

Your healthcare provider may recommend this X-ray if you have symptoms like back pain, numbness, or weakness in the lower body that could involve these bones. It’s also used before certain surgeries or treatments to plan care.

What to Expect During the Procedure

You’ll lie on your stomach on a padded table while an X-ray machine takes images from the side. A technician will position you carefully to capture clear views of the sacrum and coccyx. The procedure takes about 10–15 minutes and involves minimal discomfort.

Preparation and Safety

No special preparation is needed, but you may wear a hospital gown. If you’re pregnant, inform the technician immediately—this test uses radiation, which should be avoided during pregnancy unless absolutely necessary.

Possible Results and Next Steps

The X-ray images are reviewed by a radiologist, who will share findings with your doctor. Normal results show clear, intact bones. Abnormal findings might include fractures, degenerative changes, or other structural issues that could guide further testing or treatment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is critical for diagnosing conditions like sacral fractures (often from falls or trauma), coccygeal dislocations, or degenerative diseases like osteoarthritis. It may also help evaluate spinal alignment issues or prepare for surgical interventions.

Short name

Sacrum/Coccyx X-ray (Lateral)

Frequently asked questions

Will this test hurt?
No, the X-ray itself doesn’t hurt. You may feel slight pressure from the positioning, but you’ll be comfortable during the procedure. If you experience pain afterward, it’s likely unrelated to the test.
How long will I need to wait for results?
Results are typically available within 24–48 hours, depending on your healthcare provider’s workflow. Your doctor will discuss findings with you during a follow-up visit.
Can I eat or drink before this test?
No special diet is required, but avoid eating or drinking if you’re scheduled for a procedure that requires fasting (like some imaging tests). For this X-ray, food and fluids are not restricted.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy