Difference between revisions of "X-ray of scoliosis"
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! Scoliosis severity !! Cobb angle | ! Scoliosis severity !! Cobb angle | ||
| + | | Not scoliosis || <10°<ref>[https://books.google.se/books?id=fLIkBQAAQBAJ&pg=PA89 Page 89] in: {{cite book|title=The Complete Scoliosis Surgery Handbook for Patients: An In-Depth and Unbiased Look Into What to Expect Before and During Scoliosis Surgery|author=Dr. Kevin Lau|publisher=Health In Your Hands|isbn=9789810785925}}</ref> | ||
|- | |- | ||
| 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> | | 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> | ||
Revision as of 15:18, 16 April 2019
Author:
Mikael Häggström [notes 1]
Planning
Choice of modality
X-ray of scoliosis is generally the choice for both initial evaluation and follow-up.
Evaluation
File:X-ray of scoliosis, annotated.png
Moderate thoracic levoscoliosis with a Cobb angle of 40° between Th6 and L1, and a mild lumbar dextroscoliosis of 17° between L2 and L5.
- 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:
| Scoliosis severity | Cobb angle | Not scoliosis | <10°[1] |
|---|---|---|---|
| Mild | 10 - 30°[2] | ||
| Moderate | 30 - 45°[2] | ||
| 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.[3]
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
- See also: General notes on reporting
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
References
- ↑ Page 89 in: Dr. Kevin Lau. The Complete Scoliosis Surgery Handbook for Patients: An In-Depth and Unbiased Look Into What to Expect Before and During Scoliosis Surgery . Health In Your Hands. ISBN 9789810785925.
- ↑ 2.0 2.1 Page 460 in: Konrad E. Bloch, Thomas Brack, Anita K. Simonds (2015). ERS Handbook: Self-Assessment in Respiratory Medicine . European Respiratory Society. ISBN 9781849840781.
- ↑ Yuranga Weerakkody and A.Prof Frank Gaillard. Coronal balance. Radiopaedia. Retrieved on 2019-01-16.
