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Adult Spinal Deformity
Full length standing radiographs in both the coronal and sagittal plane that include all segments of the spine as well as the pelvis and hips are essential in the diagnostic evaluation of adults with spinal deformity. From such radiographs the segmental alignment, regional curvatures and global balance can be measured. Pelvic parameters such as incidence and tilt will also help define compensatory mechanisms of deformity. Focal imaging studies may be necessary to assess for instability (flexion-extension radiographs). Advanced imaging studies (i.e. MRI or CT myelography) may be needed to assess patients with lower extremity symptoms or other neurologic signs or symptoms.