SOSORT suggests limiting spine radiographs to once every 12 months for adolescent patients at Risser stages 0 to 3 and every 18 months for patients at Risser stages 4 to 5 unless there are objective clinical changes in the appearance of the scoliosis [39]. CT Spine CT of the spine in adolescent idiopathic scoliosis is not routinely used in initial diagnostic assessment. Rather, some orthopedists use perioperative CT for presurgical planning and intraoperative navigation to optimize screw placement [16,17,40,41]. Bone Scan Complete Spine Tc-99m MDP is not a primary imaging modality in the setting of adolescent idiopathic scoliosis as it provides no intraspinal information. Variant 4: Adolescent (10 to 17 years of age). Adolescent idiopathic scoliosis. 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] noted that a single supine spine radiograph can predict nonstructural minor curves as well. SOSORT suggests limiting spine radiographs to once every 12 months for those adolescent patients at Risser stages 0 to 3 and every 18 months for patients at Risser stages 4 to 5, unless there are objective clinical changes in the appearance of the scoliosis [39]. MRI Complete Spine Up to 2% to 4% of adolescents with scoliosis have an intrinsic anomaly of their spinal cord or spinal contents that can only be identified with MRI [4,5]. The most common abnormalities revealed by MRI include Chiari I malformation, cord syrinx, cord tethering, and, more rarely, intrinsic spinal cord tumor [4,6].
Scoliosis Child. SOSORT suggests limiting spine radiographs to once every 12 months for adolescent patients at Risser stages 0 to 3 and every 18 months for patients at Risser stages 4 to 5 unless there are objective clinical changes in the appearance of the scoliosis [39]. CT Spine CT of the spine in adolescent idiopathic scoliosis is not routinely used in initial diagnostic assessment. Rather, some orthopedists use perioperative CT for presurgical planning and intraoperative navigation to optimize screw placement [16,17,40,41]. Bone Scan Complete Spine Tc-99m MDP is not a primary imaging modality in the setting of adolescent idiopathic scoliosis as it provides no intraspinal information. Variant 4: Adolescent (10 to 17 years of age). Adolescent idiopathic scoliosis. 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] noted that a single supine spine radiograph can predict nonstructural minor curves as well. SOSORT suggests limiting spine radiographs to once every 12 months for those adolescent patients at Risser stages 0 to 3 and every 18 months for patients at Risser stages 4 to 5, unless there are objective clinical changes in the appearance of the scoliosis [39]. MRI Complete Spine Up to 2% to 4% of adolescents with scoliosis have an intrinsic anomaly of their spinal cord or spinal contents that can only be identified with MRI [4,5]. The most common abnormalities revealed by MRI include Chiari I malformation, cord syrinx, cord tethering, and, more rarely, intrinsic spinal cord tumor [4,6].