Our study demonstrated that if a surgeon elected to perform a closed reduction to treat DDH, post-spica MRI was more like- ly to play a role in identifying failed reduction and the need for re-intervention whereas in those patients who underwent anopen reduction, post-spica MRI played little role other than confirming what the surgeon already knew operatively except in one challenging case.The age of the patient at the first intervention, gender, the type of intervention performed, MRI findings, the need for re- intervention and the interval between the MRI and intervention were recorded in these cases. The reason for re- intervention in each case was also documented.