What Is Differences Between A Traditional and Scoliosis X-ray?
Proper Scoliosis X-ray is critical for accurate assessment of a scoliotic spine. However, the scoliosis X-ray differs from the traditional spine x-rays, often used in assessments of neck or back pain. Many clinics and some hospitals are not able to provide you with the best imaging if you or your child suffer from scoliosis. Therefore, before opting for a scoliosis X-ray, consult our clinical teams. Before discussion scoliosis X-rays, it may be of help to provide you with some background information on scoliosis so that you may understand the need for scoliosis specific X-ray films. Scoliosis is an abnormal 3-dimensional disorder of the spine present in 3-5% of the population.
There are two distinct types: the “C”-shaped an “S”-shaped curvatures. The Adolescent idiopathic scoliosis is the most common type of scoliosis. Adolescent scoliosis is a syndrome that may involve lateral bending of the spine, axial rotation of the vertebrae, an abnormal sagittal curvature of the spine, muscle imbalances and asymmetrical shape of the back and body. The lateral bending (side bending) and the rotational malposition are the primary reasons why scoliosis is a “three-dimensional disorder.”
What are the Best Means of Assessing a Scoliotic Spine?
A scoliosis X-ray is the best means of measuring the severity of a scoliotic spine. Generally, they are a safe and comfortable test that utilizes radiation to produce images of the spine. Youngsters with scoliosis have a spine that bends from side to side, similar to an “S” or a “C” shaped curve. Albeit little bends, for the most part, don’t cause issues, greater bends can be noticeable and cause uneasiness. A bent spine can make the body tilt to one side. One shoulder might be higher than the other, or the ribbons may appear uneven.
On the off chance that a bend is dangerous, it can even influence breathing and heart capacity and lead to harm in the joints of the spine. To avoid future complication, proper scoliosis X-rays are needed for accurate assessments.
How often should you assess Your child for scoliosis?
Kids should have routine evaluations for scoliosis. It should happen in schools, during regular physical assessments at the pediatrician and even at home. Quick and periodic checks can alert you if your child’s spine is not growing as expected. Look for uneven shoulder heights, unnatural head-tilt, a bump on the side of the spine and an unlevel pelvis height. Radiographic evaluation is the best means of further assessing an uneven shoulder height, hip heights, or a hump on one side of the spine.
If scoliosis is suspected, our doctor of chiropractic may arrange for scoliosis specific X-rays to quantify the arch of the spine. The severity of the bend, estimated in degrees on the X-ray, will enable us to choose whether it should be dealt with and, assuming this is the case. Under normal circumstances, scoliosis is diagnosed anytime the bend is more significant than 10-degrees.
Can a Three-Dimensional Disorder be Evaluated Through a “Two-Dimensional” X-ray?
To accurately assess scoliotic spine care must be taken to ensure proper imaging methods. Additionally, X-rays are a “two-dimensional” depiction of the “three-dimensional disorder: scoliosis. Therefore, the skills and knowledge of the person evaluating your scoliosis X-rays are just as significant as proper scoliosis -X-rays. In other words, to get a correct and accurate assessment of a scoliotic spine, you will need to have scoliosis specific x-rays and a knowledgeable clinician keenly familiar with scoliosis evaluations. These are the two most critical requirements for accurate diagnosis. And as such, we encourage all our patients and website visitors to take note of these two key issues before they embark on obtaining information about their scoliosis. We hope the information presented here will help you identify the best scoliosis treatment option in Malaysia.
As mentioned, scoliosis X-rays of the spine curvature is a two-dimensional image. The examiner needs expert knowledge to assess the scoliotic curvature, rotation of the vertebrae, pelvic imbalances and leg length discrepancy. Since 2007, our clinical teams of chiropractors and physiotherapists have been treating scoliosis in Malaysia. Their skills, knowledge and collective experiences will be immensely helpful towards a non-surgical therapy option. Therefore, before taking a scoliosis X-ray, visit us and let our clinical teams evaluate your spine before getting an X-ray. Best of all, we know which clinics and hospital have the expert teams needed to produce the best scoliosis X-rays of your spine.
Why You Need Proper X-rays for a Scoliotic Spine?
X-rays involve radiation and radiation as we all know bad. What is worse is the retaking of scoliosis X-rays. So, make sure an expert clinical team evaluates you, and the X-rays you get are scoliosis specific. Otherwise, you risk getting exposed to unnecessary radiation time and again. Therefore the need for proper scoliosis X-rays is essential. With the correct scoliosis X-rays, our clinical teams can use specific methods of assessments to assess the severity of side-bending as well as rotational issues in the affected spinal segments. Cobb’s method of scoliosis assessment is one such means of evaluations.
How is Cobb’s Method of X-ray Assessment Performed for the Scoliotic Spine?
Cobb’s angle is one of the most commonly used calculations to measure the curvature of the spine on scoliosis X-rays. The most displaced and rotated vertebral segment in a curve is the apex of the curve. The most tilted segment can be defined as the top most and bottom most portion of the curvature. A line can be drawn along the superior endplate of the superior vertebra while another line is drawn along the inferior endplate of the inferior vertebra. Another line can be drawn perpendicularly to these two lines, and the angle between these two lines is known as the Cobb’s angle, which is the angle of the curvature.
The Risser Sign in Assessing Scoliosis
The other relevant information that needs observation is the Risser sign. Risser sign is the best radiographic indicator for skeletal maturity. Skeletal maturity is an important indicator for proper management and treatment of a scoliotic spine. The Risser sign (method of evaluation) enables your clinical team to assess the possibility of progression.
Risser sign enables clinicians to determine skeletal maturity based on the secondary growth centers located along the top part of the iliac crest. During puberty, there will be an ossification of the growth plate, and this indicates the development and maturation of the bone. Assessment of the “age” of the bone is best through the Risser classification. Risser 1 will appear on the X-ray in the early puberty stage while Risser 5 indicates full maturation of the bone. We hope to have provided you with the information you needed. Should you have any questions about scoliosis or scoliosis X-rays, please call one of our centers. We will be glad to offer you our advice and expertise.
Preparation and Procedures for Radiographic Assessment of a Scoliotic Spine
A scoliosis X-ray doesn’t require any unusual arrangement. Your kid might be approached to expel some garments and gems and change into an emergency clinic outfit since zippers, fastens, or gems may meddle with the picture.
X-rays will expose the patient to radiation. However, the newer x-ray machines are somewhat efficient, and radiation exposure is not as bad as it was a decade ago. Be that as it may, if the X-ray is essential, safety measures can be taken to ensure the baby. So, before you go to the hospital for the required X-rays, make sure to avoid wearing jewellery. Also, inform your child that they will have to wear a robe. In the event, they are shy; you may ask the radiographer to provide your child with two gowns, wearing each in reverse; covering front and back portions of the body.
Even though the process takes around 15 minutes, real exposure to radiation is generally not more than one or two seconds. The X-ray room will contain a table and an X-ray tube. The tube is fixed to a railing with sidebar, attached to the ceiling or sidewall. Under normal circumstances, parents are not allowed in the X-ray room. Parents or guardians are encouraged to be ready to console their child when needed. However, if you take the time to explain the procedure as mentioned here, your child will be at ease when brought to the X-ray room.
Procedures when Parents are allowed in the X-ray room
On the off chance that you remain in the room while the X-ray is taken, you’ll be approached to wear a lead overskirt to protect you from scatter radiation. A scoliosis X-rays are always in a standing position. The radiographer (person taking the X-ray) will help position your child. He or she will provide instruction before they proceed. In most instances two x-rays are exposures are done, one from the front and the second from the side. Both X-rays need to show the entire spine on one film. Sectional X-rays should are useless for the scoliotic patient. Sectional X-rays are good or assessment of neck pain or back pain, but poor when it comes to scoliosis.
When all is said-and-done, X-rays are safe. Albeit any exposure to radiation represents some hazard to the body, the sum utilized in a scoliosis X-ray is little and not thought too hazardous. For best results, contact us before you opt for X-rays. We always recommend a local hospital for X-rays. Hospitals are generally better suited for scoliosis X-rays. You can enable your youngster to get ready for a scoliosis X-ray by explaining the test in basic terms before going to the hospital.