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Scoliosis X-rays: Learn the importance of Scoliosis Specific X-rays

scoliosis x-ray studyWhat 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.”

scoliosisCan a Three-Dimensional Disorder be Evaluated Through a “Two-Dimensional” Scoliosis X-ray?

To accurately assess a 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 from 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 Scoliosis X-rays?

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 the Cobb’s Method of Scoliosis X-ray Assessment Performed?

scoliosis x-ray assessment 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 a perpendicular 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.

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 a perpendicular 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 X-rays

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.

iliac epiphysis

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.

Please share this informative page on your Facebook, Twitter or other social media platforms or blogs. Improper scoliosis X-rays have subjected millions of kids and young adults to unnecessary radiation. Help us get the word out on proper scoliosis X-ray assessment.

Reference:

Zheng X, Tang YJ, Ong, SK, Nee AYC. A novel evaluation index for adolescent idiopathic scoliosis progression measurement and diagnosis. Technology and Health Care.2014;22(2): 225–241. DOI 10.3233/THC-140779

The caption mentioned above was our reference source in the production of the “Scoliosis X-ray” page.

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