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.