What does the phrase "No Step-offs" indicate in a spinal examination?

The phrase "No Step-offs" in a spinal examination specifically indicates that there is no detected misalignment of the thoracic or lumbar spine. Step-offs refer to areas along the spine where there is a noticeable change in alignment, often identified when palpating the spine. If a clinician reports "no step-offs," it implies that the spinal segments are well aligned and there are no irregularities or deviations present in that particular area. This finding is significant in evaluating the overall spinal health and can help rule out certain conditions or injuries related to spinal misalignment. Recognizing this terminology is crucial for documentation and effective communication in medical practice.