Medical Specialty >> Orthopedics

Doctors Lounge - Orthopedics Answers

Back to Orthopedics Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge ( does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 10/01/2017.

Forum Name: Spinal problems and back pain

Question: Thoracic Scoliosis

 Cyrus120z - Tue Apr 07, 2009 8:54 pm

I went to the hospital to get records and x-rays from a car wreck a year ago, for my collarbone, but upon reading all of the records, the first Emergency Room visit and X-rays i read this

"Clinical Data: Trauma

Multiple views were generated. The open-mouth view on the patient shows a slight discrepancy in the space between the dens and the c1 level masses. The Lateral masses of c1 and c2, however, do align appropriate, and i believe the slight discrepancy of this space relates to a slight degree of rotation and the fact the patient does appear to have a scoliosis of the thoracic spine convex to the right which is in fact significant.

Impression: slight discrepancy of the Atlantodental space is likely related to a slight degree of rotation for the X-ray and the fact that the patient has Thoracic Scoliosis. This is not likely to reflect Atlantoaxial Subluxation. "

here are the links to the X-rays

Now for my questions:
1. Could this have been caused by my car wreck?
2. How bad is this?
3. How is its treated?
4. Will this worsen?

p.s I've been tested for scoliosis in the best from school, and military and passed.
 Tom Plamondon PA-C - Fri Apr 10, 2009 11:45 am

User avatar Hello,
You will need an x-ray of the thoracic spine both standing and recumbent to see if there is any scoliosis. I see where the odontoid (part of C2 vertebrae) is shifted to the left. You may have been positioned at a shifted angle during x-ray.
The concern about the C2 and C1 relationship is a fracture in this area can not only paralyze you but make your diaphram stop working.
So it was determined there is no fracture.
You are left with checking on the thoracic spine for scoliosis which should be done just in case the curvature is severe and needs rehab or bracing.
Take care.

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us