Question 2056
{"accessible":false,"alternatives":[{"id":10207,"text":"whole spine AP only"},{"id":10208,"text":"whole spine AP plus lateral view"},{"id":10209,"text":"static x-rays plus stretched views"},{"id":10210,"text":"static and stretched plus MRI"},{"id":10211,"text":"static and stretched, MRI plus CT"}],"archived":false,"correctAlternativeId":10209,"explanation":"\u003cp\u003eThe preoperative imaging strategy for idiopathic scoliosis will differ from institution to institution and country to country. However, in general, not all idiopathic scoliosis requiring surgery needs cross-sectional imaging.\u0026nbsp;\u003c/p\u003e\u003cp\u003eCT is helpful for assessment of the bones of the spine. This is helpful is there is suspicion of an underlying bony congenital abnormality or tumor, e.g. osteoid osteoma. There is nothing in the questions that suggests this.\u003c/p\u003e\u003cp\u003eMRI is helpful to look for secondary causes or consequences of scoliosis where there is pain (headache, back pain etc), rapid progression, neurology or in young patients. Again, there are no suggestions of these things from the stem.\u003c/p\u003e\u003cp\u003ePrior to surgery an AP and lateral view help to assess the spine and help pre-operative planning. A stretched image allows assessment of the structural curves and gives the surgeon an idea of how much correction is possible.\u003c/p\u003e","id":2056,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2059","nextQuestionPath":"/articles/scoliosis/questions/2055","relatedArticles":[],"alsoUsedIn":[{"id":990,"kind":"Course","title":"2021 Virtual Conference Private Use - page 990","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/990"},{"id":990,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 990","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/990"},{"id":990,"kind":"Course","title":"2022 Virtual Conference Private Use - page 990","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/990"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":25,"kind":"LiveSchedule","title":"25","link":"https://radiopaedia.org/admin/live_schedules/25"},{"id":944,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 944","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/944"},{"id":944,"kind":"Course","title":"2021 Virtual Conference Private Use - page 944","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/944"},{"id":944,"kind":"Course","title":"Paediatric Lectures - page 944","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/944"}],"stem":"\u003cp\u003eA 15-year-old girl is being followed up in the scoliosis clinic. She is well but\u0026nbsp;has\u0026nbsp;a double curve s-shaped scoliosis and it is slowly increase in severity. The spinal deformity surgeon is considering posterior spinal fusion. What imaging is most appropriate prior to surgery?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2056"}],"attemptsPercentages":[{"alternativeId":"10207","percentage":4},{"alternativeId":"10211","percentage":38},{"alternativeId":"10208","percentage":28},{"alternativeId":"10209","percentage":22},{"alternativeId":"10210","percentage":9}],"promptToLogin":false,"questionManager":false,"articleId":"scoliosis"}