First, precision x-rays provide a 3-dimensional picture of the structure of the entire spine – not just the Big Curve. These x-rays are analyzed using scientific, reproducible methods that do not solely measure lateral deviation – as is the case with Cobb’s angle – but the entire spine in 3-dimensions, including rotation. Rotation of the spine is an integral factor in why a scoliosis develops. The lateral deviation component cannot be addressed until the abnormal rotation is corrected.
Structure is correlated with function through the use of computerized dual inclinometry (range of motion) & algometry (muscle testing). According to the AMA Guides to the Evaluation of Permanent Impairment, 5th edition, this system is considered to be the “Gold Standard” for measuring function.
Finally, a full range of orthopedic & neurological exams, health questionnaires, posture grid pictures, and spirometry (lung capacity) testing provide a baseline of the patient’s status.
Once all of this information, including a complete medical history, is obtained, we will have an idea if the patient is a good candidate for non-surgical scoliosis correction.
An MRI may be necessary in cases of atypical scoliosis to rule out pathology (such as a conjoined nerve root). If underlying complications are revealed, surgical intervention may be required. Chiropractic intervention is contraindicated in some instances.