The risk of receiving multiple spinal x-rays during treatment of scoliosis: analysis based on 2025 standards.

Scoliosis is a deformity of the spine in all three planes. The most common types emerge in otherwise healthy children during adolescent growth. Spine imaging is required for diagnosis and surveillance to determine whether the deformity is progressing. Epidemiologic studies that looked at the long-term effects of receiving multiple spine x-rays in childhood showed a concerning increase in adult malignancy. However, many of those studies were based on exposure from x-ray equipment 50 or more years ago. This paper examines the current risk of receiving necessary spinal x-rays using modern equipment and up to date exposure recommendations from the leading medical organizations. Using example treatment scenarios, children are receiving x-ray exposure that is well below the safe limits. Results show that cumulative radiation doses in adolescents with typical AIS range from 2.04 – 12.21 mSv, a safe cumulative dosage, while the most extreme cases would reach up to 28.45 mSv, a slight increase in risk.