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1. Factors affecting curve flexibility in skeletally immature and mature idiopathic scoliosis............................. 1

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Factors affecting curve flexibility in skeletally immature and mature idiopathic scoliosis
Author: Chen, Zi-qiang; Zhao, Yong-fei; Bai, Yu-shu; Liu, Ka Po; Gabriel; He, Shi-sheng; Wang, Chuan-feng;
Zhang, Jing-tao; Li, Ming

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Abstract: The determination of factors affecting curve flexibility is important in idiopathic scoliosis patients with
regard to the Risser sign. The objective of this retrospective study was to identify factors affecting curve
flexibility in patients with skeletally immature and mature idiopathic scoliosis.
The records of all patients with idiopathic scoliosis who received surgical treatment from July 2001 to August
2008 at our hospital were screened. The Risser sign was used to separate the patients into a skeletally mature
group (Risser grade = 5) and skeletally immature group (Risser grade <5). Data recorded and compared were
flexibility (%), bending angle (), apical vertebral rotation (), Cobb angle (), curve location, prior use of brace
treatment, and number of vertebrae in the curve.
The study cohort consisted of 217 patients (34 males, 183 females) in the Risser grade <5 group and 124 (21
males, 103 females) in the Risser grade = 5 group. Multiple linear regression analysis revealed that the Cobb
angle and the curve location significantly affected curve flexibility in the Risser grade <5 group, whereas in the
Risser grade = 5 group, Cobb angle and age significantly affected flexibility.
Cobb angle and curve location influence main curve flexibility in skeletally immature adolescent idiopathic
scoliosis, and Cobb angle and age influence curve flexibility in skeletally mature adult scoliosis. Measurement of
these values may aid in the evaluation of treatment options and preoperative planning.[PUBLICATION
ABSTRACT]

MeSH: Adolescent, Adult, Braces, Disease Progression, Female, Follow-Up Studies, Humans, Lumbar
Vertebrae -- radiography, Male, Middle Aged, Orthopedic Procedures -- instrumentation, Prognosis, ROC
Curve, Retrospective Studies, Scoliosis -- radiography, Scoliosis -- therapy, Severity of Illness Index, Thoracic
Vertebrae -- radiography, Young Adult, Aging -- physiology (major), Lumbar Vertebrae -- physiopathology
(major), Range of Motion, Articular -- physiology (major), Scoliosis -- physiopathology (major), Spine -- growth &
development (major), Thoracic Vertebrae -- physiopathology (major)

Publication title: Journal of Orthopaedic Science

Volume: 16

Issue: 2

Pages: 133-8

Publication year: 2011

Publication date: Mar 2011

Year: 2011

Publisher: Springer Science & Business Media

Place of publication: Dordrecht

Country of publication: Netherlands

Publication subject: Medical Sciences--Orthopedics And Traumatology

ISSN: 09492658

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Source type: Scholarly Journals

Language of publication: English

Document type: Feature, Comparative Study

DOI: http://dx.doi.org/10.1007/s00776-011-0034-6

Accession number: 21452083

ProQuest document ID: 859366474

Document URL: http://search.proquest.com/docview/859366474?accountid=49910

Copyright: The Japanese Orthopaedic Association 2011

Last updated: 2014-09-06

Database: ProQuest Medical Library,ProQuest Nursing & Allied Health Source

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