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X-ray of scoliosis

1,979 bytes added, 14:09, 16 January 2019
+Coronal
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|author1=[[User:Mikael Häggström|Mikael Häggström]]
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==Planning==
{{Scoliosis - choice of modality}}

==Evaluation==
[[File:X-ray of scoliosis, annotated.png|thumb|right|150px|Moderate levoscoliosis of the ]]
*Categorization into '''dextroscoliosis''' (convex towards the patient's right) or '''levoscoliosis''' (towards left). Typically, there is a main curvature, with secondary counter-curvatures above and below it, which should be measured as well in more severe scoliosis, or if it is not clear what is the main curvature.
*'''Cobb angle measurement''' of the anticipated greatest angle seen. angle formed between a line drawn parallel to the superior endplate of one vertebra above the fracture and a line drawn parallel to the inferior endplate of the vertebra one level below the fracture.
*Severity '''grading''' of the Cobb angle, which is not mandatory if already having given the angle in numbers.
{|class="wikitable"
! Scoliosis severity !! Cobb angle
|-
| Mild || 10 - 30°<ref name=ers2015>[https://books.google.com/books?id=PTGpDAAAQBAJ&pg=PA460 Page 460] in: {{cite book|title=ERS Handbook: Self-Assessment in Respiratory Medicine|author=Konrad E. Bloch, Thomas Brack, Anita K. Simonds|publisher=European Respiratory Society|year=2015|isbn=9781849840781}}</ref>
|-
| Moderate || 30 - 45°<ref name=ers2015/>
|-
| Severe || >45°
|}

Optionally: Coronal balance, which is the horizontal distance between the middle of the vertebral body of C7 and the midline of the sacrum. It is significant if measuring over 2 cm.<ref>{{cite web|url_https://radiopaedia.org/articles/coronal-balance|title=Coronal balance|author= Yuranga Weerakkody and A.Prof Frank Gaillard|website=Radiopaedia|accessdate=2019-01-16}}</ref>

==Report==
*Dextro- or levoscoliosis
*Cobb angle in numbers, and between which levels, if the referral has any focus on the scoliosis, otherwise a severity grading is enough.

If measured: Significant coronal imbalance
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