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Hemivertebrae rad iograph11/28/2023 ![]() No associated vertebral abnormalities are noted. Standing AP and lateral views of the entire spine demonstrate an arcuate thoracolumbar scoliosis with a rightward convexity. Therefore, one must know how to read these films and how to dictate a coherent and helpful interpretation of them.Ī sample dictation of a typical examination is shown below: However, radiographic scoliosis examinations are ordered by a wide variety of other physicians, most of whom look toward the radiologist as the local musculoskeletal expert, after the orthopedist. Generally, scoliosis is treated by orthopedic surgeons with special training in spinal problems. Currently, scoliosis is treated successfully by special braces, electrical stimulation, surgery, or by combinations of these three techniques. If scoliosis is neglected, the curves may progress dramatically, creating significant physical deformity and even cardiopulmonary problems with especially severe curves. Patient with thoracic scoliosis, convex to the right, bridged by a Harrington rod and bone graft along the concave side of the spine In this population, monitoring should be continued. However, with greater curvatures, the curvature may progress at about 1 degree per year in adults. Once this has been established, scoliosis screening and monitoring can usually be stopped. Generally, curvatures less than 30 degrees will not progress after the child is skeletally mature. Beyond that point, boys and girls should be examined every 6 – 9 months. This screening is probably not necessary until the fifth grade. Therefore, scoliosis screening is done in schools across America and several other countries. However, 60 % of curvatures in rapidly growing prepubertal children will progress. Most curves can be treated nonoperatively if they are detected before they become too severe. Scoliosis of greater than 25 degrees has been reported in about 1.5/1000 persons in the United States. Scoliosis occurs relatively frequently in the general population, and its frequency depends upon the magnitude of the curve being described. ![]()
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