Diagnosis of adult scoliosis
When is this exam indicated?
These examinations are necessary to evaluate: the degree of defromity, associated pathologies (lumbar stenosis, radicular compressions, spinal cord compressions, fractures), the indication for surgical treatment, the extent of surgical correction to restore the sagittal and coronal balance.
How is it performed?
The teleradiography of the rachis (TeleRX) in orthostasis with standard technique is carried out with X-rays obtaining an image of the skeleton defined in 2 projections. Low-dose-radiation spinal teleradiography (EOS) allows to perform the same examination but with a much lower quantity of radiation and with the possibility to perform three-dimensional reconstructions of the column or of the whole skeleton.
Teleradiography of the spine (TeleRX) or EOS and CT are contraindicated for pregnant women. Major contraindications for MRI are: MRI incompatible compatible metals, metal shavings, dentures, pregnant status, pace-makers, intrauterine devices (IUDs). In case of use of contrast medium (both iodine for CT and gadolinium for MRI), which happens quite rarely, the patient will have to follow an appropriate anti-allergic preparation.