Why X-rays? The importance of radiographs in spine surgery |
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| Institution: | 1. Department of Orthopedic Surgery, Washington University School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110 USA;2. Department of Neurosurgery, Northwell Health Chair of Neurosurgery at North Shore University Hospital and Long Island Jewish Medical Center, NY, USA;3. Institute for Neurology and Neurosurgery, Northwell Health and Chair of Neurosciences, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, NY, USA;1. Department of Orthopaedics and Rehabilitation, Yale School of Medicine, 800 Howard Ave, New Haven, CT, 06510, USA;2. Harvard Combined Orthopaedic Residency Program, 55 Fruit St, Boston, MA, 02114, USA;3. Nuvasive Clinical Services 10275 Little Patuxent Pkwy Ste 300 Columbia, MD 21044, USA;4. UConn Main Campus 2131 Hillside Road, Unit 3088 Storrs, CT 06269-3088;1. Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand;2. Center of Excellence in Biomechanics and Innovative Spine Surgery, Chulalongkorn University, Bangkok, Thailand;3. Biostatistics Excellence Centre, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;4. The Kirby Institute, University of New South Wales, Sydney, Australia;5. Department of Orthopaedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand;1. Department of Orthopedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku, Tokyo JAPAN;2. Department of Environmental and Occupational Health, School of Medicine, Toho University, 5-21-16 Omori Nishi, Otaku, Tokyo, Japan;3. Department of Orthopedic Surgery, Japanese Red Cross Shizuoka Hospital, 8-2 Otemachi Aoiku Shizuoka city, Shizuoka, Japan;4. Department of Orthopedic Surgery, Keiyu Orthopedic Hospital, Tatebayashi-shi Akodacho 2267-1, Gunma, Japan;5. Department of Orthopedic Surgery, Tachikawa Hospital, 4-2-22 Nishiki-cho, Tachikawa-shi, Tokyo, Japan;6. Department of Rehabilitation Medicine, Keiyu Orthopedic Hospital, Tatebayashi-shi Akodacho 2267-1, Gunma, Japan;1. Geisinger Commonwealth School of Medicine, 525 Pine St., Scranton, PA 18510, USA;2. Department of Spine Surgery, Geisinger Musculoskeletal Institute, 3 W. Olive St., Scranton, PA 18508, USA;1. École de réadaptation, Université de Montréal, 7077 Av du Parc, Montreal, Quebec, Canada, H3N1×7;2. Sainte-Justine University Hospital Center, 3175 Chem. de la Côte-Sainte-Catherine, Montreal, Quebec, Canada, H3T1C5;3. Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, Edmonton, Alberta, Canada, T6G2G4;5. University La Statale, Via Festa del Perdono 7, 20121 Milan, Italy;6. IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, Italy;2. Department of Orthopedics, Pudong New Area People''s Hospital, 490 Chuanhuan South Road, Shanghai, 201299, China |
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| Abstract: | Despite the advances made in high-resolution spinal imaging, plain films (radiographs or x-rays) remain a cornerstone of evaluating and caring for spine patients in the preoperative, intraoperative, and postoperative settings. Although often undervalued when compared with more advanced imaging such as MRIs or CT scans, plain films provide surgeons invaluable information that other imaging modalities oftentimes cannot. In addition to their use during surgery for localization or evaluation of hardware placement, x-rays provide an overall image of a patient's spine, are useful in evaluating hardware complications, allow detailed assessment of alignment and stability and allow for repeated images in clinic during follow-up. Plain films continue to provide critical information that cannot be obtained with other imaging modalities, and they remain central to providing optimal care for spine patients. |
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