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By visual inspection of the spine, asymmetry of the back is significant enough to suspect the existence of scoliosis in such cases, to evaluate spinal deformity an X-ray is ordered. Scoliometers could help evaluate the appearance of an asymmetric spine deformity with variable sensitivity and specificity but cannot substitute radiography. It is widely reported in the literature that significant correlations between radiographs and topographic parameters were found. Posterior Trunk Symmetry Index
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