Scoliosis radiography

Changed by Alan Ho, 22 Feb 2018

Updates to Article Attributes

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Scoliosis radiography can be useful in identifying the degree of the curvature (major/minor or primary/compensatory curves), as well as observe its progression to determine the best method of treatment ²¹.

Indications

Scoliosis radiographs are performed specifically when the disease is suspected, or when its severity/progression are being measured ²¹.

Projections

Protocols for scoliosis radiography may vary depending on each radiology department.

^{Standard Projections:}

PA/AP view
- visualisation of all thoracic and lumbar vertebrae of interest
- may be taken erect and supine for comparison ⁵²
erect Lateral view
- visualisation of all thoracic and lumbar vertebrae of interest
- used to identify spondylolisthesis, degree of kyphosis/lordosis ⁵²

^{Additional Projections:}

scoliosis lateral bending PA/AP view
- assesses the range of motion of the spine by having the patient bend laterally to either side

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+<![endif]-->Scoliosis radiography can be useful in identifying the degree of the curvature (major/minor or primary/compensatory curves), as well as observe its progression to determine the best method of treatment 1. <h4>Indications</h4><!--[if gte mso 9]><xml>
-<![endif]-->Scoliosis radiographs are performed specifically when the disease is suspected, or when its severity/progression are being measured 2.<h4>Projections <!--[if gte mso 9]><xml>
+<![endif]-->Scoliosis radiographs are performed specifically when the disease is suspected, or when its severity/progression are being measured 1.<h4>Projections <!--[if gte mso 9]><xml>
~~-<li>may be taken erect and supine for comparison 5~~
+<li>may be taken erect and supine for comparison 2
~~-<li>used to identify spondylolisthesis, degree of kyphosis/lordosis 5~~
+<li>used to identify spondylolisthesis, degree of kyphosis/lordosis 2

References changed:

1. Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician. 2014 Feb 1;89(3):193-8.
3. Cassar-Pullicino VN, Eisenstein SM. Imaging in scoliosis: what, why and how?. Clinical radiology. 2002 Jul 1;57(7):543-62.
4. Asher MA, Burton DC. Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis. 2006 Mar 31;1(1):2.
5. Kim H, Kim HS, Moon ES, Yoon CS, Chung TS, Song HT, Suh JS, Lee YH, Kim S. Scoliosis imaging: what radiologists should know. Radiographics. 2010 Nov 1;30(7):1823-42.
6. Lehman L. Scoliosis and Spine Imaging. Radiologic Technology. 2008 Mar;79(4):373-77
1. Lehman L. Scoliosis and Spine Imaging. Radiologic Technology. 2008 Mar;79(4):373-77
3. Asher MA, Burton DC. Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis. 2006 Mar 31;1(1):2.
4. Cassar-Pullicino VN, Eisenstein SM. Imaging in scoliosis: what, why and how?. Clinical radiology. 2002 Jul 1;57(7):543-62.
5. Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician. 2014 Feb 1;89(3):193-8.
6. Kim H, Kim HS, Moon ES, Yoon CS, Chung TS, Song HT, Suh JS, Lee YH, Kim S. Scoliosis imaging: what radiologists should know. Radiographics. 2010 Nov 1;30(7):1823-42.