Nash and moe classification

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Pedicle Grade
Convex Side
Concave Side
0, Neutral
No asymmetry
No asymmetry
1, +
Migrates within first segment
May start disappearing
Early distortion
Early distortion
2, ++
Migrates to second segment
Gradually disappears
3, +++
Migrates to middle segment
Not visible
4, ++++
Migrates past midline to concave side of vertebral body
Not visible
  • In Suk classification, used to assess spinal rotation in bending x-ray
    • If < grade 2
    • If ≥ grade 2
notion image
notion image