RadteraXR Scoliosis Series
XRNo contrastSpine
Indications
- Evaluation and monitoring of scoliosis/spinal curvature
- Cobb angle measurement
- Pre-operative/post-operative spinal deformity assessment
- Skeletal maturity (Risser) assessment
Patient prep
- Remove radiopaque objects over torso; gown
Contrast
None / non-contrast
Technique
- Erect/weight-bearing PA (preferred over AP to reduce breast/gonadal dose) of full spine on long (14x36 inch / 36-inch) IR or stitched DR
- CR perpendicular to center of full spine (~T9-T10)
- SID 72 inches; grid
- Include from external acoustic meatus / C7 through iliac crests (Risser)
- Use breast shielding/compensating filters; suspended respiration
Series / Sequences
| # | Series / Sequence | Plane | Notes |
|---|---|---|---|
| 1 | PA erect full spine | Frontal | Standing/weight-bearing; full spine on long IR; for Cobb angle and curve magnitude |
| 2 | Lateral erect full spine | Sagittal | Standing; evaluates sagittal alignment/kyphosis-lordosis and spondylolisthesis |
Key points
- PA projection preferred to lower breast and thyroid dose in (often young female) patients
- Right and left lateral bending (supine) views assess curve flexibility for surgical planning
- Include iliac crests to assess Risser sign of skeletal maturity
- Compensating filters even out density between thoracic and lumbar regions
References
• Bontrager's Handbook - Scoliosis Series
• Merrill's Atlas Vol 1 - Vertebral Column (Scoliosis)
• Radiopaedia: Scoliosis series link
• SOSORT/SRS imaging recommendations
• Merrill's Atlas Vol 1 - Vertebral Column (Scoliosis)
• Radiopaedia: Scoliosis series link
• SOSORT/SRS imaging recommendations
Source: Researched — verify against your institution
Reference template — verify and adapt to your scanner, vendor and institution before clinical use. Not a substitute for clinical judgment.