Abnormal Skeletal Growth Patterns in Adolescent Idiopathic Scoliosis—A Longitudinal Study Until Skeletal Maturity

Spine ◽  
2012 ◽  
Vol 37 (18) ◽  
pp. E1148-E1154 ◽  
Author(s):  
Annie P. Y. Yim ◽  
Hiu-Yan Yeung ◽  
Vivian W. Y. Hung ◽  
Kwong-Man Lee ◽  
Tsz-Ping Lam ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Skeletal Maturity ◽  
Growth Patterns ◽  
Skeletal Growth

scholarly journals Abnormal skeletal growth patterns in adolescent idiopathic scoliosis

Scoliosis ◽  
2013 ◽  
Vol 8 (S2) ◽  
Author(s):  
Houria Kaced ◽  
Hanene Belabbassi ◽  
Assia Haddouche
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Growth Patterns ◽  
Skeletal Growth

Sanders stage 7b: Using the appearance of the ulnar physis improves decision-making for brace weaning in patients with adolescent idiopathic scoliosis

2021 ◽  
Vol 103-B (1) ◽  
pp. 141-147
Author(s):  
Prudence Wing Hang Cheung ◽  
Jason Pui Yin Cheung
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Skeletal Maturity ◽  
Skeletal Maturation ◽  
Complete Fusion ◽  
Accurate Assessment ◽  
Distal Ulna ◽  
Exact Test ◽  
Arm Span ◽  
The Mean

Aims The aim of this study was to investigate whether including the stages of ulnar physeal closure in Sanders stage 7 aids in a more accurate assessment for brace weaning in patients with adolescent idiopathic scoliosis (AIS). Methods This was a retrospective analysis of patients who were weaned from their brace and reviewed between June 2016 and December 2018. Patients who weaned from their brace at Risser stage ≥ 4, had static standing height and arm span for at least six months, and were ≥ two years post-menarche were included. Skeletal maturity at weaning was assessed using Sanders staging with stage 7 subclassified into 7a, in which all phalangeal physes are fused and only the distal radial physis is open, with narrowing of the medial physeal plate of the distal ulna, and 7b, in which fusion of > 50% of the medial growth plate of distal ulna exists, as well as the distal radius and ulna (DRU) classification, an established skeletal maturity index which assesses skeletal maturation using finer stages of the distal radial and ulnar physes, from open to complete fusion. The grade of maturity at the time of weaning and any progression of the curve were analyzed using Fisher’s exact test, with Cramer’s V, and Goodman and Kruskal’s tau. Results We studied a total of 179 patients with AIS, of whom 149 (83.2%) were female. Their mean age was 14.8 years (SD 1.1) and the mean Cobb angle was 34.6° (SD 7.7°) at the time of weaning. The mean follow-up was 3.4 years (SD 1.8). At six months after weaning, the rates of progression of the curve for patients weaning at Sanders stage 7a and 7b were 11.4% and 0%, respectively for those with curves of < 40°. Similarly, the rates of progression of the curve for those being weaned at ulnar grade 7 and 8 using the DRU classification were 13.5% and 0%, respectively. The use of Sanders stages 6, 7a, 7b, and 8 for the assessment of maturity at the time of weaning were strongly and significantly associated (Cramer’s V 0.326; p = 0.016) with whether the curve progressed at six months after weaning. Weaning at Sanders stage 7 with subclassification allowed 10.6% reduction of error in predicting the progression of the curve. Conclusion The use of Sanders stages 7a and 7b allows the accurate assessment of skeletal maturity for guiding brace weaning in patients with AIS. Weaning at Sanders stage 7b, or at ulnar grade 8 with the DRU classification, is more appropriate as the curve did not progress in any patient with a curve of < 40° immediately post-weaning. Thus, reaching full fusion in both distal radial and ulnar physes (as at Sanders stage 8) is not necessary and this allows weaning from a brace to be initiated about nine months earlier. Cite this article: Bone Joint J 2021;103-B(1):141–147.

scholarly journals Chiropractic rehabilitation for adolescent idiopathic scoliosis: end-of-growth and skeletal maturity results

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Mark W. Morningstar ◽  
Brian Dovorany ◽  
Clayton J. Stitzel ◽  
Aatif Siddiqui
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Skeletal Maturity ◽  
Exercise Program ◽  
Inclusion Criteria ◽  
Specific Exercise ◽  
Curve Correction ◽  
Total Correction ◽  
Radiographic Outcomes ◽  
Angle Measurements

The aim of this study was to evaluate the radiographic outcomes obtained in a sample of patients treated with a chiropractic scoliosis-specific exercise program for patients with adolescent idiopathic scoliosis. Patients were treated and subsequently followed through skeletal maturity, and their results were reported in accordance with the SOSORT Consensus Guidelines. A total of 60 patient charts were consecutively selected when they met inclusion criteria. Cobb angle measurements and Risser staging were collected on all images. Using SOSORT criteria, 51.7% of patients achieved curve correction and 38.3% achieved stabilization. In the curve correction group, average total correction was 12.75°. A small number of sampled patients’ curves progressed, with a 13% failure rate based upon patients who dropped out before skeletal maturity combined with those who had progressed at skeletal maturity. Future studies are needed to corroborate these observations.

Surgery for the Adolescent Idiopathic Scoliosis Patients After Skeletal Maturity: Early Versus Late Surgery

2019 ◽  
Vol 7 (1) ◽  
pp. 84-92 ◽  
Author(s):  
Baron S. Lonner ◽  
Yuan Ren ◽  
Shay Bess ◽  
Michael Kelly ◽  
Han Jo Kim ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Skeletal Maturity

Race and Adolescent Idiopathic Scoliosis: Are There Racial Differences in Age at Skeletal Maturity, Curve Flexibility, or Curve Correction?

2010 ◽  
Vol 10 (9) ◽  
pp. S124-S125
Author(s):  
Per Trobisch ◽  
Neil J. Bharucha ◽  
Peter Newton ◽  
Suken Shah ◽  
Randal R. Betz ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Racial Differences ◽  
Skeletal Maturity ◽  
Curve Correction ◽  
Maturity Curve
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