Spine Scoliosis Standing AP

Overview

Standing AP full spine radiographs evaluate coronal curvature and spinal alignment under physiologic load. The patient stands with arms positioned to avoid obscuring the spine. This view is essential for scoliosis screening and monitoring progression.

Technique

Obtain a full length AP radiograph from the cervical to the sacral region with the patient standing erect. Use consistent positioning and include a calibration marker for measurement. Ensure equal weight distribution and standardized arm positioning.

Clinical Indications

Full spine standing AP is indicated for scoliosis screening adolescent idiopathic scoliosis and preoperative planning. It quantifies Cobb angles and assesses coronal balance. Serial imaging monitors curve progression and treatment response.

Image Assessment

Measure Cobb angles identify curve apex and evaluate coronal balance and pelvic obliquity. Assess for vertebral anomalies and rotational deformity. Report findings to guide orthopedic management and bracing or surgical decisions.

Whole Spine Lateral

Overview

Whole spine lateral radiographs evaluate sagittal alignment from cervical to sacral regions under physiologic load. They are used to assess global balance and plan corrective spinal surgery. Proper positioning ensures inclusion of all spinal segments.

Technique

Obtain a full length lateral radiograph with the patient standing and arms positioned to avoid obscuring the spine. Use consistent posture and include a calibration marker for measurements. Immobilize and instruct the patient to maintain natural stance.

Clinical Indications

Whole spine lateral views are indicated for deformity assessment adult spinal deformity and preoperative planning. They quantify sagittal vertical axis pelvic parameters and lumbar lordosis. Serial imaging monitors progression and postoperative outcomes.

Image Assessment

Measure sagittal vertical axis pelvic tilt pelvic incidence and lumbar lordosis. Assess for compensatory mechanisms and vertebral deformity. Report findings to guide surgical planning and alignment goals.