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CT of the cervical spine
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MRI of the entire spine
Whole body bone scan
Echocardiography of the heart
Preoperative somatosensory testing
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The patient is likely to have Marfan syndrome and cardiac complications are more likely to occur. Therefore, an echocardiogram would be indicated to assess for valvular insufficiency or other cardiac abnormalities. MRI of the spine is indicated in rapidly progressive curves, right-sided curves, those patients with an abnormal neurologic examination, and younger patients. CT of the spine would be indicated in patients with torticollis or if evaluating a congenital spine disorder. Preoperative somatosensory testing is occasionally performed in patients with neurologic conditions in which responses may not be normal and a baseline is needed. A bone scan is not indicated.
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