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Imaging in scoliosis
Neville Wright
Royal
Liverpool Children's Hospital NHS Trust, Alder Hey, Eaton Road,
Liverpool L12 2AP, UK
Correspondence to: Dr Wright
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Introduction |
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Recent advances in imaging technology have resulted in a better understanding of the complexities of the scoliotic spine. Plain radiography remains the usual method of measuring curvature progression, but use of multiplanar imaging techniques, such as computed tomography and magnetic resonance, have resulted in a greater understanding of the three dimensional nature of scoliosis and enabled underlying abnormalities to be detected with confidence.
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Clinical evaluation |
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Despite the advances in imaging capabilities, the initial
detection of scoliosis relies on clinical skills. The prevalence of
scoliosis is quoted as approximately 1-3% for curves of greater than
10°.1 A few are detected through school screening, some will be found incidentally when imaging is performed for other reasons,
such as during chest or abdominal radiography, and some will be
identified because of a high degree of clinical suspicion in a child
with known associated anomalies, such as VATER (vertebral, anorectal,
tracheal, oesophageal, renal) complex. It is
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This article has been cited by other articles:
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BARWICK, T D, GODDARD, I, EASTY, M, WALLIS, C, BIASSONI, L
(2009). Postural change in ventilation and perfusion secondary to a thoracic scoliosis with complete resolution after surgery. Br. J. Radiol.
82: e137-e140
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