Is the cervical vertebral maturation (CVM) method effective enough to replace the hand-wrist maturation (HWM) method in determining skeletal maturation?—A systematic review

2018 ◽  
Vol 102 ◽  
pp. 125-128 ◽  
Author(s):  
Agnieszka Szemraj ◽  
Anna Wojtaszek-Słomińska ◽  
Bogna Racka-Pilszak
Keyword(s):  
Systematic Review ◽  
Skeletal Maturation ◽  
Cervical Vertebral Maturation

scholarly journals Reliability of cervical vertebral maturation compared to hand-wrist for skeletal maturation assessment in growing subjects: A systematic review

2021 ◽  
pp. 1-12
Author(s):  
Martina Ferrillo ◽  
Claudio Curci ◽  
Andrea Roccuzzo ◽  
Mario Migliario ◽  
Marco Invernizzi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skeletal Maturity ◽  
Assessment Method ◽  
Skeletal Maturation ◽  
Clinical Role ◽  
Data Synthesis ◽  
Spinal Curve ◽  
Item Quality ◽  
Medium Quality ◽  
Cervical Vertebral Maturation

BACKGROUND: Radiographic methods to assess skeletal maturity (SM) have a key role in adolescent idiopathic scoliosis (AIS) management, allowing to predict risk of spinal curve progression. Cervical vertebral maturation (CVM) has been recently introduced as an alternative tool to assess skeletal maturity; however, its clinical role is still debated. OBJECTIVE: This systematic review aimed to investigate the reliability of CVM in the SM assessment of growing subjects, comparing it to hand wrist maturation (HVM). METHODS: PubMed, Scopus, and Web of Science databases were systematically searched from inception until 31st December 2020 to identify observational studies presenting: growing subjects as participants; CVM methods as intervention; HVM methods as comparator; reliability for SM assessment as outcome. A 10-item quality tool has been used to assess study quality. RESULTS: Out of 205 papers, 12 papers were included in the data synthesis. We classified 10 studies (83.3%) as medium-quality studies and 2 studies (16.7%) as high-quality studies. Eight studies reported a significant correlation between CVM Baccetti and different HWM methods. CONCLUSION: Taken together, these findings suggested that CVM might be considered as reliable SM assessment method compared to HWM in growing subjects. However, further studies are warranted to confirm these findings.

scholarly journals A Comparison of Hand-wrist Bone and Cervical Vertebral Analyses in Measuring Skeletal Maturation

2006 ◽  
Vol 76 (6) ◽  
pp. 984-989 ◽  
Author(s):  
Paola Gandini ◽  
Marta Mancini ◽  
Federico Andreani
Keyword(s):  
Radiation Exposure ◽  
Cervical Vertebrae ◽  
Skeletal Maturation ◽  
Maturation Stage ◽  
Concordance Index ◽  
Lateral Cephalogram ◽  
Stage 4 ◽  
Cervical Vertebral Maturation

Abstract Objective: To compare skeletal maturation as measured by hand-wrist bone analysis and by cervical vertebral analysis. Materials and Methods: A radiographic hand-wrist bone analysis and cephalometric cervical vertebral analysis of 30 patients (14 males and 16 females; 7–18 years of age) were examined. The hand-wrist bone analysis was evaluated by the Bjork index, whereas the cervical vertebral analysis was assessed by the cervical vertebral maturation stage (CVMS) method. To define vertebral stages, the analysis consisted of both cephalometric (13 points) and morphologic evaluation of three cervical vertebrae (concavity of second, third, and fourth vertebrae and shape of third and fourth vertebrae). These measurements were then compared with the hand-wrist bone analysis, and the results were statistically analyzed by the Cohen κ concordance index. The same procedure was repeated after 6 months and showed identical results. Results: The Cohen κ index obtained (mean ± SD) was 0.783 ± 0.098, which is in the significant range. The results show a concordance of 83.3%, considering that the estimated percentage for each case is 23.3%. The results also show a correlation of CVMS I with Bjork stages 1–3 (interval A), CVMS II with Bjork stage 4 (interval B), CVMS III with Bjork stage 5 (interval C), CVMS IV with Bjork stages 6 and 7 (interval D), and CVMS V with Bjork stages 8 and 9 (interval E). Conclusions: Vertebral analysis on a lateral cephalogram is as valid as the hand-wrist bone analysis with the advantage of reducing the radiation exposure of growing subjects.

scholarly journals Dental and Chronological Ages as Determinants of Peak Growth Period and Its Relationship with Dental Calcification Stages

2016 ◽  
Vol 10 (1) ◽  
pp. 99-108 ◽  
Author(s):  
George Litsas ◽  
Alessandra Lucchese
Keyword(s):  
Correlation Coefficient ◽  
Skeletal Maturity ◽  
Stage Iv ◽  
Growth Period ◽  
T Test ◽  
Skeletal Maturation ◽  
Dental Age ◽  
Peak Period ◽  
Paired Samples ◽  
Cervical Vertebral Maturation

Purpose:To investigate the relationship between dental, chronological, and cervical vertebral maturation growth in the peak growth period, as well as to study the association between the dental calcification phases and the skeletal maturity stages during the same growth period.Methods:Subjects were selected from orthodontic pre-treatment cohorts consisting of 420 subjects where 255 were identified and enrolled into the study, comprising 145 girls and 110 boys. The lateral cephalometric and panoramic radiographs were examined from the archives of the Department of Orthodontics, Aristotle University of Thessaloniki, Greece. Dental age was assessed according to the method of Demirjian, and skeletal maturation according to the Cervical Vertebral Maturation Method. Statistical elaboration included Spearman Brown formula, descriptive statistics, Pearson’s correlation coefficient and regression analysis, paired samples t-test, and Spearman’s rho correlation coefficient.Results:Chronological and dental age showed a high correlation for both gender(r =0.741 for boys, r = 0.770 for girls, p<0.001). The strongest correlation was for the CVM Stage IV for both males (r=0.554) and females (r=0.68). The lowest correlation was for the CVM Stage III in males (r=0.433, p<0.001) and for the CVM Stage II in females (r=0.393, p>0.001). The t-test revealed statistically significant differences between these variables (p<0.001) during the peak period. A statistically significant correlation (p<0.001) between tooth calcification and CVM stages was determined. The second molars showed the highest correlation with CVM stages (CVMS) (r= 0.65 for boys, r = 0.72 for girls).Conclusion:Dental age was more advanced than chronological for both boys and girls for all CVMS. During the peak period these differences were more pronounced. Moreover, all correlations between skeletal and dental stages were statistically significant. The second molars showed the highest correlation whereas the canines showed the lowest correlation for both gender.

Skeletal Maturation in Patients With Cleft Lip and/or Palate: A Systematic Review

2021 ◽  
pp. 105566562110076
Author(s):  
Xiaoyi Wu ◽  
Wenying Kuang ◽  
Jie Zheng ◽  
Zhengkun Yang ◽  
Meiqing Ren ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cohort Studies ◽  
Cleft Lip ◽  
Skeletal Maturation ◽  
Cochrane Library ◽  
Normal Children ◽  
Retrospective Cohort Studies ◽  
Newcastle Ottawa Scale ◽  
Ottawa Scale

Objective: The objective of this systematic review was to evaluate the evidence regarding skeletal maturation in patients with cleft lip and/or palate (CL/P) and to investigate whether the skeletal maturation is delayed in these patients. Design: Systematic review. Methods: Electronic and manual searches of scientific literature were conducted in 4 databases (MEDLINE, Embase, Cochrane Library, and Web of Science). Cohort studies that compared the skeletal maturation of patients with CL/P with that of children without CL/P were eligible for inclusion. The quality of included cohort studies was assessed using the Newcastle-Ottawa Scale. Patients and Participants: Patients of any sex and ethnicity with CL/P and children without CL/P were included in this systematic review. Main Outcome Measures: Difference in skeletal maturation between patients with CL/P and patients without CL/P. Results: Thirteen retrospective cohort studies were included in this systematic review. Ten studies were considered of high quality and 3 were considered of general quality. The results of the included studies comparing skeletal maturation of patients with CL/P and children without CL/P were heterogeneous. Conclusion: Heterogeneity of skeletal maturation assessment methods, chronological age, sex, cleft type, and race may influence the final results of clinical studies on skeletal maturation in patients with CL/P. Overall, there is limited evidence to determine whether the skeletal maturation level of patients with CL/P is delayed compared to that of normal children. Further studies are needed to determine the skeletal maturation patterns in patients with CL/P.

scholarly journals The Evaluation of Skeletal Age Based on Computer-Supported Methods in Comparison to the Atlas Method

2013 ◽  
Vol 35 (1) ◽  
pp. 129-141
Author(s):  
Anna Predko-Maliszewska ◽  
Agnieszka Predko-Engel ◽  
Maciej Goliński
Keyword(s):  
Computer Analysis ◽  
Cervical Vertebrae ◽  
Skeletal Age ◽  
Skeletal Maturation ◽  
Atlas Method ◽  
Cervical Vertebral Maturation

Abstract This article describes methods used in estimating skeletal age based both on the evaluation of skeletal maturation of the palm and the wrist (Greulich and Pyle’s atlas method) and the Cervical Vertebral Maturation method (CVM). The method of evaluating the skeletal age based on the measurement of cervical vertebrae with equations introduced by A. Machorowska-Pieniążek is also mentioned. The article shows results obtained by computer analysis of the age of cervical vertebrae compared to the results gained from the implemented equations provided by A. Machorowska-Pieniążek and the results obtained from the atlas method.

scholarly journals Sagittal and Vertical Craniofacial Growth Pattern and Timing of Circumpubertal Skeletal Maturation: A Multiple Regression Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Giuseppe Perinetti ◽  
Luigi Rosso ◽  
Riccardo Riatti ◽  
Luca Contardo
Keyword(s):  
Multiple Regression ◽  
Growth Pattern ◽  
Regression Models ◽  
Cross Sectional Study ◽  
Skeletal Maturation ◽  
Craniofacial Growth ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Regression Models ◽  
Cervical Vertebral Maturation

The knowledge of the associations between the timing of skeletal maturation and craniofacial growth is of primary importance when planning a functional treatment for most of the skeletal malocclusions. This cross-sectional study was thus aimed at evaluating whether sagittal and vertical craniofacial growth has an association with the timing of circumpubertal skeletal maturation. A total of 320 subjects (160 females and 160 males) were included in the study (mean age,12.3±1.7years; range, 7.6–16.7 years). These subjects were equally distributed in the circumpubertal cervical vertebral maturation (CVM) stages 2 to 5. Each CVM stage group also had equal number of females and males. Multiple regression models were run for each CVM stage group to assess the significance of the association of cephalometric parameters (ANB, SN/MP, and NSBa angles) with age of attainment of the corresponding CVM stage (in months). Significant associations were seen only for stage 3, where the SN/MP angle was negatively associated with age (βcoefficient, −0.7). These results show that hyperdivergent and hypodivergent subjects may have an anticipated and delayed attainment of the pubertal CVM stage 3, respectively. However, such association remains of little entity and it would become clinically relevant only in extreme cases.

scholarly journals Evolution of ANB and SN-GoGn angles during craniofacial growth: A retrospective longitudinal study

2016 ◽  
Vol 6 ◽  
pp. 295-301 ◽  
Author(s):  
Rodrigo Oyonarte ◽  
Mónica Hurtado ◽  
M. Valeria Castro
Keyword(s):  
Longitudinal Study ◽  
Class Ii ◽  
Class I ◽  
Skeletal Maturation ◽  
Maturation Stage ◽  
Class Iii ◽  
Skeletal Class ◽  
Pubertal Stages ◽  
Caucasian Patients ◽  
Cervical Vertebral Maturation

ObjectiveThe aim of this study is to describe the evolution of the ANB and SN-GoGn angles throughout development, in a longitudinal sample of Caucasian patients.Materials and MethodsHistorical cephalometric records from North American individuals available at the American Association of Orthodontists Foundation Craniofacial Legacy Growth Collection website were used to carry out an exploratory longitudinal study. Lateral cephalometric radiographs of orthodontically untreated males and females were included. Individuals with three or more longitudinal cephalometric records at pre- and post-pubertal stages, with at least one postpubertal radiograph available in vertebral cervical maturation stage (cervical vertebral maturation) 5 or 6, were selected. Seventy-one individuals met the inclusion criteria. ANB, SNA, SNB, and SN-GoGn angles were measured. Individuals were classified according to the latest postpubertal ANB angle available and grouped by CVM. Descriptive statistics were obtained for the cephalometric variables, and differences between genders were analyzed.ResultsForty-five individuals were classified as skeletal Class I at the end of growth, 17 as Class II, and 9 as Class III. ANB values decrease as growth occurs in every group (average ANB decrease between the stages CVM 1 and 6: Class I - 1.5°, Class II - 0.7°, and Class III - 3.1°). For SN-GoGn angle, a constant reduction was observed as skeletal maturation increased (Average SN-GoGn decrease between the stages CVM 1 and 6: Class I - 4°, Class II - 2.5°, and Class III - 4.9°).ConclusionsANB and SN-GoGn angles decrease during growth. The magnitude varies depending on individual sagittal characteristics, Class III individuals displaying the greatest reduction, and Class II individuals the least.

Sign in / Sign up

Export Citation Format

Share Document