Pediatric spinal alignment and spinal development
Background: Knowledge of the growth spurt and remaining growth is essential for managing musculoskeletal diseases in children. Accurate prediction of curve progression and timely interventions are crucial, particularly for conditions like adolescent idiopathic scoliosis (AIS). Methods: This study co...
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| Language: | English |
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Elsevier
2024-12-01
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| Series: | North American Spine Society Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666548424002415 |
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| author | Léonard Swann Chatelain, MD, MSc Anne-Laure Simon, MD, PhD Marc Khalifé, MD, PhD Emmanuelle Ferrero, MD, PhD |
| author_facet | Léonard Swann Chatelain, MD, MSc Anne-Laure Simon, MD, PhD Marc Khalifé, MD, PhD Emmanuelle Ferrero, MD, PhD |
| author_sort | Léonard Swann Chatelain, MD, MSc |
| collection | DOAJ |
| description | Background: Knowledge of the growth spurt and remaining growth is essential for managing musculoskeletal diseases in children. Accurate prediction of curve progression and timely interventions are crucial, particularly for conditions like adolescent idiopathic scoliosis (AIS). Methods: This study conducted a comprehensive review and synthesis of existing literature on spinal growth, skeletal maturity classifications, and the evolution of sagittal alignment parameters during childhood and adolescence. Key anatomical elements involved in spinal development, natural history of spinal growth, and skeletal maturity assessment systems were analyzed. Results: The analysis highlighted that key parameters such as Pelvic incidence (PI), Pelvic tilt (PT), and Lumbar lordosis (LL) increase significantly with growth, especially during the pubertal growth spurt. In contrast, Sacral slope (SS) remains relatively constant, and Thoracic kyphosis (TK) shows a slight increase. Additionally, there is a posterior shift in the center of gravity as children grow, reflecting progressive postural maturation. The study also reviewed and compared various maturity classification systems, noting the reliability and clinical implications of systems like the Sanders Maturity Stage (SMS) and Tanner-Whitehouse III. Conclusions: Reliable maturity classification systems, such as the Sanders Maturity Stage (SMS) and Tanner-Whitehouse III, allow for tailored treatments to individual growth patterns. Integrating these classification systems into clinical practice enables precise prediction of curve progression and timely therapeutic interventions. This includes options from bracing to surgical techniques like growing rods or vertebral body tethering (VBT), with growth modulation being a key factor in achieving successful outcomes. |
| format | Article |
| id | doaj-art-3a0176030e7c40bf90cc47c5683a1a00 |
| institution | Kabale University |
| issn | 2666-5484 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | North American Spine Society Journal |
| spelling | doaj-art-3a0176030e7c40bf90cc47c5683a1a002024-12-18T08:53:10ZengElsevierNorth American Spine Society Journal2666-54842024-12-0120100548Pediatric spinal alignment and spinal developmentLéonard Swann Chatelain, MD, MSc0Anne-Laure Simon, MD, PhD1Marc Khalifé, MD, PhD2Emmanuelle Ferrero, MD, PhD3Department of Orthopedic Surgery, Hôpital Européen Georges Pompidou (HEGP), APHP, Paris Cité University, Paris, France; Corresponding author.Department of Pediatric Orthopedic Surgery, Hôpital Robert Debré, APHP, Paris Cité University Paris, FranceDepartment of Orthopedic Surgery, Hôpital Européen Georges Pompidou (HEGP), APHP, Paris Cité University, Paris, FranceDepartment of Orthopedic Surgery, Hôpital Européen Georges Pompidou (HEGP), APHP, Paris Cité University, Paris, FranceBackground: Knowledge of the growth spurt and remaining growth is essential for managing musculoskeletal diseases in children. Accurate prediction of curve progression and timely interventions are crucial, particularly for conditions like adolescent idiopathic scoliosis (AIS). Methods: This study conducted a comprehensive review and synthesis of existing literature on spinal growth, skeletal maturity classifications, and the evolution of sagittal alignment parameters during childhood and adolescence. Key anatomical elements involved in spinal development, natural history of spinal growth, and skeletal maturity assessment systems were analyzed. Results: The analysis highlighted that key parameters such as Pelvic incidence (PI), Pelvic tilt (PT), and Lumbar lordosis (LL) increase significantly with growth, especially during the pubertal growth spurt. In contrast, Sacral slope (SS) remains relatively constant, and Thoracic kyphosis (TK) shows a slight increase. Additionally, there is a posterior shift in the center of gravity as children grow, reflecting progressive postural maturation. The study also reviewed and compared various maturity classification systems, noting the reliability and clinical implications of systems like the Sanders Maturity Stage (SMS) and Tanner-Whitehouse III. Conclusions: Reliable maturity classification systems, such as the Sanders Maturity Stage (SMS) and Tanner-Whitehouse III, allow for tailored treatments to individual growth patterns. Integrating these classification systems into clinical practice enables precise prediction of curve progression and timely therapeutic interventions. This includes options from bracing to surgical techniques like growing rods or vertebral body tethering (VBT), with growth modulation being a key factor in achieving successful outcomes.http://www.sciencedirect.com/science/article/pii/S2666548424002415Sagittal alignmentPediatric spinal growthAdolescent idiopathic scoliosis (AIS)Pelvic incidenceSkeletal maturity classifications |
| spellingShingle | Léonard Swann Chatelain, MD, MSc Anne-Laure Simon, MD, PhD Marc Khalifé, MD, PhD Emmanuelle Ferrero, MD, PhD Pediatric spinal alignment and spinal development North American Spine Society Journal Sagittal alignment Pediatric spinal growth Adolescent idiopathic scoliosis (AIS) Pelvic incidence Skeletal maturity classifications |
| title | Pediatric spinal alignment and spinal development |
| title_full | Pediatric spinal alignment and spinal development |
| title_fullStr | Pediatric spinal alignment and spinal development |
| title_full_unstemmed | Pediatric spinal alignment and spinal development |
| title_short | Pediatric spinal alignment and spinal development |
| title_sort | pediatric spinal alignment and spinal development |
| topic | Sagittal alignment Pediatric spinal growth Adolescent idiopathic scoliosis (AIS) Pelvic incidence Skeletal maturity classifications |
| url | http://www.sciencedirect.com/science/article/pii/S2666548424002415 |
| work_keys_str_mv | AT leonardswannchatelainmdmsc pediatricspinalalignmentandspinaldevelopment AT annelauresimonmdphd pediatricspinalalignmentandspinaldevelopment AT marckhalifemdphd pediatricspinalalignmentandspinaldevelopment AT emmanuelleferreromdphd pediatricspinalalignmentandspinaldevelopment |