Why Your X-Ray Numbers Don’t Match: Full-Spine Stitching, Cobb Angles, and Patient Trust

In this July 14, 2026 Refining Room recap, Dr. Jason Haas explains why full-spine stitched films can produce measurement differences and how CBP doctors should interpret, adjust, and explain those differences with greater clinical clarity.

In this episode

• Why Cobb angle measurements can vary significantly between sectional and stitched films How projection distortion and magnification affect full-spine imaging accuracy

• The difference between using sectional films for clinical decisions and stitched films for patient education

• Common stitching issues that affect cervical, thoracic, and lumbar alignment on reports How landmark placement, film scaling, and image layering influence report credibility 

• Practical considerations for explaining mismatched x-ray numbers to patients and parents

Watch the full Refining Room session in Video Gallery 2.0 for the complete demonstrations, clinical discussion, and participant questions.

This AI-produced recap is grounded in the original session transcript and is intended to reinforce—not replace—the full session, instructor guidance, or independent clinical judgment.