Early onset idiopathic scoliosis. Initial imaging. The body regions covered in this clinical scenario are the cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information, including prior imaging. MRI Complete Spine Juvenile idiopathic scoliosis carries higher risk for intraspinal anomalies as compared with adolescent idiopathic scoliosis with a range of 13% to 27% [28-30]. Some suggest selective MRI for curve progression, neurologic status change, or routinely when surgical intervention is planned [30], or presurgically when there is back pain [9]. Other authors recommend total spine MRI for all patients with juvenile idiopathic scoliosis [28]. CT Spine CT does not play a significant role in the initial diagnostic assessment of early onset idiopathic scoliosis as it is limited with respect to intraspinal assessment. Bone Scan Complete Spine Tc-99m MDP is not a primary imaging modality in the setting of early onset idiopathic scoliosis as it provides no intraspinal information. Variant 3: Adolescent (10 to 17 years of age). Adolescent idiopathic scoliosis. No risk factors. Initial imaging. The body regions covered in this clinical scenario are the cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information, including prior imaging. Surgical decision making and planning is also influenced by the flexibility of the curves, which can be assessed using a variety of radiographic techniques, such as side bending, push prone, fulcrum bending, and traction radiographs [33-37]. Cheh et al [38] found that a single supine spine radiograph can predict curve type, flexibility, and structurality.
Scoliosis Child. Early onset idiopathic scoliosis. Initial imaging. The body regions covered in this clinical scenario are the cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information, including prior imaging. MRI Complete Spine Juvenile idiopathic scoliosis carries higher risk for intraspinal anomalies as compared with adolescent idiopathic scoliosis with a range of 13% to 27% [28-30]. Some suggest selective MRI for curve progression, neurologic status change, or routinely when surgical intervention is planned [30], or presurgically when there is back pain [9]. Other authors recommend total spine MRI for all patients with juvenile idiopathic scoliosis [28]. CT Spine CT does not play a significant role in the initial diagnostic assessment of early onset idiopathic scoliosis as it is limited with respect to intraspinal assessment. Bone Scan Complete Spine Tc-99m MDP is not a primary imaging modality in the setting of early onset idiopathic scoliosis as it provides no intraspinal information. Variant 3: Adolescent (10 to 17 years of age). Adolescent idiopathic scoliosis. No risk factors. Initial imaging. The body regions covered in this clinical scenario are the cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information, including prior imaging. Surgical decision making and planning is also influenced by the flexibility of the curves, which can be assessed using a variety of radiographic techniques, such as side bending, push prone, fulcrum bending, and traction radiographs [33-37]. Cheh et al [38] found that a single supine spine radiograph can predict curve type, flexibility, and structurality.