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.