Clinical question: Preop MRI for scoliosis. Signs and symptoms: Scoliosis. Non-enhanced total spine MRI:Examination of cervical region demonstrate normal development of vertebral column. There is normal anatomical alignment of cervical spine however with exaggerated cervical kyphosis. Foramen magnum is unremarkable and there is no evidence of spinal stenosis at any level. There is no convincing evidence of neural foraminal compromise at any level. The signal intensity and caliber of the cervical cord remains within normal. Examination of thoracic spine demonstrate significant levoscoliosis. There is however normal development of vertebral column and without evidence of congenital malformation the vertebral bodies or the posterior elements. There is normal anatomical alignment of vertebral column.There is apparent uniform slightly smaller caliber of the thoracic cord however without detectable signal abnormality cord.There is normal termination of cord at mid L1 levelThere is no evidence of neural foraminal or spinal canal compromise or stenosis at any level.Examination of lumbosacral spine demonstrate normal anatomical development of the vertebral bodies and the posterior elements. There is normal anatomical alignment the vertebral column however with exaggerated lordosis and with near horizontal axis of the sacral vertebral column. There is no spinal stenosis or neural foraminal compromise at any level. There is normal anatomical morphology and signal intensity of the conus and the cauda equina and in particular no evidence of fatty filum or tethered cord.
1.Significant levoscoliosis of lumbosacral spine.2.Significant reversal of cervical lordosis, exaggerated lower lumbar lordosis with resultant sacrum on a horizontal plane as detailed.3.No continental developmental anomaly of the vertebral bodies or the posterior elements.4.Unremarkable foramen magnum, normal signal intensity of the cord, conus and the cauda equina, normal termination of the cord at mid L1 level and without evidence of cord tethering.5.No evidence of a perispinal soft tissue abnormalities.