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Scoliosis refers to a curvature of the spine when looking at it from the front or the back (A to P, or P to A). This is very important, because the spine has normal curvatures when viewed from the side. The term scoliosis is used even when the curvature is mild.

Normally a spine is straight when you look at it from front to back. It runs in the same direction that a necktie does.

This particular curve, a levoconvex scoliosis of the thoracolumbar spine, runs from the low back area, maybe from the area where your belt would cross your low back (or lumbar spine) up to the mid-back, which is the area of your back that have ribs (or thoracic spine).

The term rotatory means that the vertebrae making up this curvature are rotated so that their spinous processes are pointed towards the concavity, which is the right side in this case.

Obviously, this question is regarding a radiology report, otherwise the term "rotatory" would not likely have been used. Hopefully, these x-rays were taken while the patient was standing (weight bearing films), otherwise they will not accurately depict the true curvature. Basically, films taken to assess/measure a scoliosis need to be taken with the patient standing up evenly on both feet.

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What is thoracolumbar spine?

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