Evaluation of scoliosis today: examination, X-rays and beyond.
OBJECTIVE
The purpose of this paper is to provide an overview of the techniques of evaluation of patients, suffering from idiopathic scoliosis.


METHODS
The presentation is provided, concerning the medical history, clinical examination, conventional radiography, stereo-radiography, surface topography, ultrasounds, computer tomography, and magnetic resonance imaging, focusing on the points specific for the pathology of idiopathic scoliosis.


RESULTS
Use of the scoliometer became systematic in the clinical evaluation. Quality of life questionnaires, including those endorsed by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT), oriented towards scoliotic patients, gain on popularity and are extremely helpful to objectively evaluate the disability related to scoliosis. Classical radiography serves as the basic exam to determine the curve type and magnitude. Ultrasounds, computer tomography and magnetic resonance imaging are indicated in precisely defined clinical situations. Stereo-radiography and surface topography seem to be the most promising techniques, however requiring standardisation.


CONCLUSIONS
Apart from sophisticated measurements, the experience of a physician cannot be underestimated. High standard clinical evaluation will probably continue to serve as a reference for other methods of assessment of patients with scoliosis. Stereo-radiography and surface topography deserve common use, after standardization is achieved.
Kotwicki
Tomasz
T
Department of Paediatric Orthopaedics and Traumatology, University of Medical Sciences of Poznan, Poland. kotwicki@amp.edu.pl
D000293:Adolescent; D053587:Arthrometry, Articular; D002648:Child; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D012600:Scoliosis / Q000175:diagnosis* / Q000473:pathology; D012720:Severity of Illness Index; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology