Logo image
Curve progression in idiopathic scoliosis
Journal article   Peer reviewed

Curve progression in idiopathic scoliosis

S L Weinstein and I V Ponseti
Journal of bone and joint surgery. American volume, Vol.65(4), pp.447-455
04/1983
DOI: 10.2106/00004623-198365040-00004
PMID: 6833318

View Online

Abstract

One hundred and thirty-three curves in 102 patients who were followed for an average of 40.5 years were evaluated to quantitate curve progression after skeletal maturity and for prognostic factors leading to curve progression. Sixty-eight per cent of the curves progressed after skeletal maturity. In general, curves that were less than 30 degrees at skeletal maturity tended not to progress regardless of curve pattern. In thoracic curves the Cobb angle, apical vertebral rotation, and the Mehta angle were important prognostic factors. In lumbar curves the degree of apical vertebral rotation, the Cobb angle, the direction of the curve, and the relationship of the fifth lumbar vertebra to the intercrest line were of prognostic value. Translatory shifts played an important role in curve progression. Curves that measured between 50 and 75 degrees at skeletal maturity, particularly thoracic curves, progressed the most.
Thoracic Vertebrae - diagnostic imaging Follow-Up Studies Lumbar Vertebrae - diagnostic imaging Humans Middle Aged Male Age Determination by Skeleton Adolescent Adult Female Aged Child Scoliosis - diagnostic imaging

Details

Logo image