Patients with scoliosis often have rib issues where some are farther back on one side and more forward on the other. When a patient leans back, it creates a turn and rotation, and that can lead to a bad X -ray.
Another error can occur if the patient’s arms are not relaxed, or even worse, if they’re purposely positioned symmetrically. If the X -ray technician changes the position to make the patient more comfortable, this can alter the presentation of the film.
In terms of getting the most accurate results from a scoliosis X-ray, it’s advantageous to work with the same scoliosis specialist throughout the entire course of treatment. Coronal balance is another finding used to help determine the best course of treatment; this measurement expresses how the pelvis is vertically aligned to the torso.
Riser is extremely important for adolescent cases of scoliosis because it helps determine the likelihood of progression due to growth. A complete and comprehensive set of scoliosis films should also include a Lateral Cobb angle (X -ray taken from the side, not front to back).
This lateral Cobb film also gives lots of data regarding how to treat the patient. Variables such as sagittal balance, lumbar lordosis, thoracic kyphosis sacral inclination, and pelvic incidence all come into play.
The last thing a doctor, or a patient, wants to do is go through a bunch of treatment, only to find out it didn’t change anything. Scoliosis X-ray frequency can vary depending on whether a patient is in active treatment or simply being observed.
A scoliosis X-ray remains the most definitive tool for determining the best treatment approach for the patient. The shape and nature of a patient’s scoliosis is going to dictate how they are likely to respond to conservative treatment methods such as exercise, therapy, chiropractic, and bracing.
Today, the dose of x -ray needed to produce quality images is just a small fraction of what was required in the past. Although most individuals have concerns about radiation exposure from X -ray, the dosages are very low and are not believed to cause significant risks with current techniques.
Prior to the x -ray procedure, lead blockers are placed directly on the x -ray machine to minimize the patient’s exposure to radiation. In addition, for your protection the x -ray machine at Scoliosis Associates is tested on a regular basis to ensure radiation exposure is below government safety guidelines.
Children who have mild scoliosis may need regular checkups to see if there have been changes in the curvature of their spines as they grow. While there are guidelines for mild, moderate and severe curves, the decision to begin treatment is always made on an individual basis.
If a child's bones have stopped growing, the risk of curve progression is low. This low-profile brace is made of plastic materials and is contoured to conform to the body.
If your child's bones are still growing and he or she has moderate scoliosis, your doctor may recommend a brace. The most common type of brace is made of plastic and is contoured to conform to the body.
A brace's effectiveness increases with the number of hours a day it's worn. Children who wear braces can usually participate in most activities and have few restrictions.
About two years after girls begin to menstruate When boys need to shave daily When there are no further changes in height Severe scoliosis typically progresses with time, so your doctor might suggest scoliosis surgery to reduce the severity of the spinal curve and to prevent it from getting worse.
The most common type of scoliosis surgery is called spinal fusion. In spinal fusion, surgeons connect two or more of the bones in the spine (vertebrae) together, so they can't move independently.
Metal rods, hooks, screws or wires typically hold that part of the spine straight and still while the old and new bone material fuses together. If the scoliosis is progressing rapidly at a young age, surgeons can install a rod that can adjust in length as the child grows.
This growing rod is attached to the top and bottom sections of the spinal curvature, and is usually lengthened every six months. Complications of spinal surgery may include bleeding, infection, pain or nerve damage.
Chiropractic manipulation Electrical stimulation of muscles Dietary supplements Coping with scoliosis is difficult for a young person in an already complicated stage of life.
Teens are bombarded with physical changes and emotional and social challenges. With the added diagnosis of scoliosis, anger, insecurity and fear may occur.
A strong, supportive peer group can have a significant impact on a child's or teen's acceptance of scoliosis, bracing or surgical treatment. Consider joining a support group for parents and kids with scoliosis.
Support group members can provide advice, relay real-life experiences and help you connect with others facing similar challenges. Your child's doctor may check for scoliosis at a routine well-child visit.
Physical examinations prior to sports participation often detect scoliosis. If you are informed that your child might have scoliosis, see your doctor to confirm the condition.
Detailed descriptions of your child's signs and symptoms, if any are present Information about medical problems your child has had in the past Information about the medical problems that tend to run in your family Questions you want to ask the doctor National Institute of Arthritis and Musculoskeletal and Skin Diseases.