ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2015
Natural sagittal spino-pelvic alignment in boys and girls before, at and after the adolescent growth spurt.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Sagittal spinopelvic parameters in children and adolescents: a retrospective cross-sectional radiographic study from Turkey.Pediatric radiology · 2026Article
- Can pelvic incidence be used to analyse the sagittal profile in adolescent idiopathic scoliosis? A retrospective analysis of 100 patients.Spine deformity · 2026Article
- Kyphosis, lordosis and height velocity. What is the effect of rate of growth on the development of the sagittal parameters of the spine in normal children?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Idiopathic Scoliosis as a Conversion Reaction to Stress with the Neural Effect of a "Distorting Mirror".Life (Basel, Switzerland) · 2026Review
- Reassessing vertebral endplate references in parametric spinal analysis: Validation of a centroid-based method for vertebral inclination measurement.Brain & spine · 2026Article
- Normative values of the sagittal lumbopelvic alignment in children during the first decade of life : A retrospective observational study from a German paediatric orthopaedic hospital.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Observational
- Postural Fitness Protocol in Children and Adolescents: Descriptive Values from the ISQUIOS Program.Children (Basel, Switzerland) · 2025Article
- Research trends of biomechanics in scoliosis from 1999 to 2023: a bibliometric analysis.Spine deformity · 2025Review
- COMT and MTHFR Genetic Variants Combined Effects on Adolescent Idiopathic Scoliosis Progression.Journal of genomics · 2025Article
- Current biomechanical theories on the etiopathogenesis of idiopathic scoliosis.Spine deformity · 2024Review
- More Prevalent and Severe Low Bone-Mineral Density in Boys with Severe Adolescent Idiopathic Scoliosis Than Girls: A Retrospective Study of 798 Surgical Patients.Journal of clinical medicine · 2023Article
- The kyphosis-lordosis difference parameter and its utility in understanding the pathogenesis of adolescent idiopathic scoliosis.BMC research notes · 2022Article
- Lower-Limb Range of Motion Predicts Sagittal Spinal Misalignments in Children: A Case-Control Study.International journal of environmental research and public health · 2022Article
- Radiographic study of peak velocity of pelvic incidence in adolescent idiopathic scoliosis.Quantitative imaging in medicine and surgery · 2022Article
- Spinopelvic alignment and lumbar vertebral shape in children: associations with structural spinal abnormalities and body composition in the generation R study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Neglected problem: Influence of school bag on lumbar segment in children.Frontiers in pediatrics · 2022Article
- The role of sagittal pelvic morphology in the development of adult degenerative scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Specific sagittal alignment patterns are already present in mild adolescent idiopathic scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS).Journal of clinical medicine · 2021Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdolescent idiopathic scoliosis occurs far more often in girls than in boys, and its initiation and progression normally takes place around the adolescent growth spurt. Despite extensive research into the topic, no solid explanation for both well-known phenomena has been offered. The sagittal profile of the growing spine has been demonstrated previously to play an important role in the spine's rotational stiffness. Changes in this sagittal alignment around the growth spurt can be inferred to play an important role in the spine's propensity to develop a rotatory deformity, i.e. scoliosis. The aim of this study was to quantify sagittal spino-pelvic alignment and orientation in space of each individual vertebra in normal boys and girls in the beginning, at the peak and at the end of pubertal growth.
methodsStandardized lateral radiographs of the spine of boys (n = 57) and girls (n = 99) between the age of seven and eighteen who underwent screening for scoliosis, but had a normal spine were enrolled in this study. Children with spino-pelvic pathology at initial screening or during follow-up were excluded. According to Dimeglio's data, subjects were classified into three groups: before, at and after the peak growth spurt. Seven regional sagittal spino-pelvic parameters, as well as the inclination angles of each individual vertebra between C7 and L5 compared to the gravity line, were measured semi-automatically using in-house developed software.
resultsIn all subjects, the posteriorly tilted segment was longer, vertebrae T1-T8 were more posteriorly inclined and thoracic kyphosis, pelvic incidence and pelvic tilt were lower before as well as during the peak of the growth spurt, when compared to after the growth spurt (P ≤ 0.023). Furthermore, in girls, thoracic kyphosis was smaller (P = 0.023), the posteriorly inclined segment was longer (P < 0.001) and T1 as well as levels T3-T11 were more posteriorly inclined (P < 0.05) compared to boys at all stages of development. At the peak of the growth spurt, girls had more posterior inclination of upper thoracic vertebrae and lower values for thoracic kyphosis than boys (P = 0.005).
conclusionsThese results imply that the spines of girls during the growth spurt are more posteriorly inclined, and thus rotationally less stable, compared to boys at the same stage of development, as well as compared to girls after the growth spurt. This may explain why initiation and progression of adolescent idiopathic scoliosis are more prevalent in girls around puberty.
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