ADOLESCENT IDIOPATHIC SCOLIOSIS - EARLY MENARCHE, NORMAL GROWTH

被引:44
作者
GOLDBERG, CJ
DOWLING, FE
FOGARTY, EE
机构
[1] Children’s Research Centre, Orthopaedic Department, Our Lady’s Hospital for Sick Children, Dublin, Crumlin
关键词
Growth; Height; Idiopathic scoliosis; Manarche;
D O I
10.1097/00007632-199304000-00003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Growth has long been known to be relevant to the development and prognosis of spinal deformity and abnormalities have been considered in the etiology of idiopathic scoliosis. Age at menarche, as an indicator of puberty, in 303 girls with idiopathic scoliosis 10-degrees or more from the Dublin school screening program was 13.13 years, 0.39 years earlier than the national mean for Irish girls. This difference is statistically significant (P < 0.01). The heights of 214 of these girls aged 10-15.5 years at diagnosis and at least 14 years at follow-up, after a minimum 6 months, were compared with the national standards. It was found that, although those diagnosed at a younger age were generally taller than their peers, this was not true for those diagnosed at a later age or for anyone at final follow-up. This points to an early pubertal growth spurt in girls with adolescent idiopathic scoliosis but not to any outright abnormality of growth or development.
引用
收藏
页码:529 / 535
页数:7
相关论文
共 29 条
[11]  
Hsu L., Upadhyay S.S., Lee M.K., Leong J., The Effect of Spinal Fusion on the Growth of the Spine and the Lower Limbs in Girls with Adolescent Idiopathic scoliosis—A Longitudinal Study. Scoliosis Research Society/European Spinal Deformity Society, (1989)
[12]  
James J., Idiopathic scoliosis, J Bone Joint Surg, 36B, pp. 36-49, (1954)
[13]  
Nicolopoulos K.S., Burwell R.G., Webb J.K., Stature and its components in adolescent idiopathic scoliosis, J Bone Joint Surg, 67B, pp. 594-601, (1985)
[14]  
Nordwall A., Willner S., Skeletal age in patients with idiopathic scoliosis, J Bone Joint Surg, 56A, (1974)
[15]  
Risser J., Ferguson A.B., Scoliosis: Its prognosis, J Bone Joint Surg, 18, pp. 667-670, (1936)
[16]  
Risser J.C., The iliac apophysis: An invaluable sign in the management of scoliosis, Clin Orthop, pp. 111-118, (1958)
[17]  
Root A.W., Endocrinology of puberty. 1. Normal sexual maturation, J Paediati, 83, pp. 1-19, (1973)
[18]  
Ryan M.D., Nachemson A., Thoracic idiopathic scoliosis: Perinatal and environmental aspects in a Swedish population and their relationship to curve severity, J Paediatr Orth, 7, pp. 72-87, (1987)
[19]  
Scoles P.V., Salvagno R., Vallalba K., Riew D., Relationship of iliac crest maturation to skeletal and chronological age, J Paediatr Orth, 8, pp. 639-644, (1988)
[20]  
Sevastikoglou J.A., Aaro S., Elmsted E., Dahlbom M., Levander R., Bone scanning of the spine and thorax in idiopathic scoliosis, Clin Orthop, 149, pp. 172-174, (1980)