The Journal of Bone and Joint Surgery (American). 2007;89:14-20.
doi:10.2106/JBJS.F.00318
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Maturity Indicators in Spinal Deformity

James O. Sanders, MD

Corresponding author:
James O. Sanders, MD
Shriners Hospital for Children, 1645 West 8th Street, Erie, PA 16505.
E-mail address: jsanders@shrinenet.org

The first 150 words of the full text of this article appear below.


   Introduction
 
Scoliosis from all causes, with the sole exception of adult degenerative deformity, is a disorder of growth. Physicians who treat spinal deformities in children and adolescents should have a basic understanding of growth and its relationship to the progression of scoliosis and be capable of making an accurate determination of maturity. The purpose of this review is to describe the relationship of growth to the progression of scoliosis, to delineate the various methods of determining maturity, and to describe reasonable ways of evaluating maturity in clinical practice.

The relationship of growth to scoliosis was well described by the pioneers of scoliosis treatment1-4. However, it was the work of Duval-Beaupere5,6 that clearly demonstrated the close relationship between increased height and scoliosis progression. Her studies showed that curve progression increases markedly at the time of the adolescent growth spurt in both idiopathic and neuromuscular curves and markedly slows or ceases at . . . [Full Text of this Article]


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