The Journal of Bone and Joint Surgery (American). 2007;89:8-13.
doi:10.2106/JBJS.F.00314
© 2007 The Journal of Bone and Joint Surgery, Inc.
Growth Considerations of the Immature Spine
John Sarwark, MD and
Carl-Éric Aubin, PhD
Corresponding author: John Sarwark, MD Division of Orthopaedic
Surgery, Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL
60614. E-mail address:
j-sarwark@northwestern.edu
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Growth Process of the Spine
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It is a well-known fact that the human spine grows during the infantile,
juvenile, and adolescent periods of life. Less known and less obvious are the
specifics of vertebral column growth, including the total amount of growth per
year and the amount of growth that occurs at each vertebral segment and in
each of the various planes (axial, coronal, sagittal, and transverse). We do
know that the growth rate of the spine varies according to age. In utero, the
spine grows at an extremely accelerated rate; from birth to two years of age,
it develops at an increased rate; from two to ten years of age, it proceeds to
grow at a steady rate; and finally, during the prepubescent growth phase, it
grows at an increased rate once again.
There is a relationship between growth of the spine and the development of
spinal deformity. Progression of scoliotic spinal deformity occurs . . . [Full Text of this Article]

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