The Journal of Bone and Joint Surgery (American). 2007;89:3-7.
doi:10.2106/JBJS.F.01236
© 2007 The Journal of Bone and Joint Surgery, Inc.
Growth and Maturation of the Spine from Birth to Adolescence
Robert D. Labrom, MD, MSc, FRACS
Corresponding author: Robert D. Labrom, MD, MSc, FRACS Queensland
Orthopaedic Clinic, The Wesley Hospital, 40 Chasely Street, Auchenflower,
4006, Queensland, Australia. E-mail address:
robert.labrom@qldoc.com.au
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Introduction
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Normal development of the spine, from birth, includes the progressive
longitudinal and axial growth of an osseous spinal column that allows a
neuroprotective mechanical axis for all motion throughout life. Growth of the
spinal column may become eccentric during life and can result in spinal
deformity.
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General Goals of Postnatal Spinal Growth
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In the developing spinal column, there exist four general features that
permit the successful growth of the human spine:
- Osseous development is essential for the provision of a mechanical
axis for the appendicular skeleton as well as an axis for muscular
development. This axial skeleton has features that are unique to all mammalian
bipeds.
- Characteristic curves in the osseous spinal column need to develop
once the child begins to sit upright and eventually walk. Lordotic cervical
and lumbar segments begin to develop, and the development of kyphotic thoracic
and sacral segments permits balance in the sagittal plane.
- Continuous symmetric growth of the spinal column . . . [Full Text of this Article]

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