The prediction of curve progression in untreated idiopathic scoliosis during growth.

@article{Lonstein1984ThePO,
  title={The prediction of curve progression in untreated idiopathic scoliosis during growth.},
  author={Je Lonstein and J. Martin Carlson},
  journal={The Journal of bone and joint surgery. American volume},
  year={1984},
  volume={66 7},
  pages={
          1061-71
        }
}
Key MethodWe reviewed the cases of 727 patients with idiopathic scoliosis in whom the initial curve measured from 5 to 29 degrees. The patients were followed either to the end of skeletal growth or until the curve progressed. One hundred and sixty-nine patients (23.2 per cent) showed progression of the curve. The incidence of curve progression was found to be related to the pattern and magnitude of the curve, the patient's age at presentation, the Risser sign, and the patient's menarchal status. We found…

The natural history of adolescent idiopathic scoliosis

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The findings indicate the length of the spine measured on subsequent radiographs is an excellent parameter to determine spinal growth and thus an excellent predictor of scoliosis progression.

Growth and progression of adolescent idiopathic scoliosis in girls

  • M. Ylikoski
  • Medicine
    Journal of pediatric orthopedics. Part B
  • 2005
In the major left thoracic and left lumbar curve types, initial minor curves progressed faster than major curves, and the scoliosis progressed faster in patients with minorThoracic kyphosis.

Scoliosis in patients treated with growth hormone.

It is concluded that growth hormone may increase the risk of progression of scoliosis and the progression is frequently rapid and requires special vigilance by the treating physician.

The impact of residual growth on deformity progression.

Progression risk assessment of idiopathic scoliosis showed that a 30° curve at the beginning of puberty together with 20° to 30° curves with more than 10° of annual curve progression has a 100% risk of progression towards the 45° surgical threshold in these patients.

Factors associated with spinal deformity progression in adolescent idiopathic scoliosis

There is evidence that the absolute curve magnitude at presentation may be most predictive of progression in the long term.

Skeletal age assessment from the olecranon for idiopathic scoliosis at Risser grade 0.

The method of assessing skeletal age from the olecranon allows skeletal maturity to be evaluated in regular six-month intervals during the phase of peak height velocity and is simple, precise, and reliable.

Intervention versus Observation in Mild Idiopathic Scoliosis in Skeletally Immature Patients

It is suggested that pre-menarcheal, skeletally immature patients with mild idiopathic scoliosis, and low vitamin D, BMD, and BMI should be treated, and asymmetric foot biomechanics should be addressed, although nutrition and foot orthoses are regarded to have no role in the management of idiopATHicScoliosis.
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