![]() ![]() X-rays of the spine are obtained to search for other potential causes of pain, i.e. ![]() X-ray : Application of radiation to produce a film or picture of a part of the body can show the structure of the vertebrae and the outline of the joints.Radiographic tests are required for an accurate and positive diagnosis. This is a simple initial screening test that can detect potential problems, but cannot determine accurately the exact type or severity of the deformity. From this angle, any asymmetry of the trunk or any abnormal spinal curvatures can easily be detected by the examiner. During this test, the patient leans forward with his or her feet together and bends 90 degrees at the waist. Curves exceeding 45 to 50 degrees are considered severe and often require more aggressive treatment.Ī standard exam that is sometimes used by pediatricians and in grade school screenings is called the Adam's Forward Bend Test. ![]() In general, a curve is considered significant if it is greater than 25 to 30 degrees. A positive diagnosis of scoliosis is made based on a coronal curvature measured on a posterior-anterior radiograph of greater than 10 degrees. The curve is measured by the Cobb Method and is diagnosed in terms of severity by the number of degrees. Scoliosis is usually confirmed through a physical examination, an x-ray, spinal radiograph, CT scan or MRI. Recent reports on pulmonary function testing in patients with mild to moderate idiopathic scoliosis showed diminished pulmonary function. If a patient with diagnosed idiopathic scoliosis has more than mild back discomfort, a thorough evaluation for another cause of pain is advised.ĭue to changes in the shape and size of the thorax, idiopathic scoliosis may affect pulmonary function. Ten percent of these patients were found to have an underlying associated condition such as spondylolisthesis, syringomyelia, tethered cord, herniated disc or spinal tumor. In one study, about 23 percent of patients with idiopathic scoliosis presented with back pain at the time of initial diagnosis.
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