Evidence map›Paper›PMID 38158439›Full record

SynthesisPediatric radiology2024

Is there a skeletal age index that can predict accurate curve progression in adolescent idiopathic scoliosis? A systematic review.

Marco Manzetti, Alberto Ruffilli, Francesca Barile, Giovanni Viroli, Matteo Traversari, Fabio Vita, Tosca Cerasoli, Alberto Arceri, Elena Artioli, Antonio Mazzotti and 1 more

Erratum issuedAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Normal spino-pelvic alignment in healthy adolescents: defining the PI-SS relationship and laying the foundations for pre-operative sagittal planning.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 · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. The diagnostic accuracy of community spine radiology for adolescent idiopathic scoliosis brace candidates.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 · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Marco ManzettiDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy. marco.manzetti2@unibo.it.ORCID 0000-0003-3992-9637
Alberto RuffilliDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy.ORCID 0000-0002-4514-8936
Francesca BarileDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy.ORCID 0000-0001-7771-8676
Giovanni ViroliDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy.ORCID 0000-0003-4348-0983
Matteo Traversari1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.ORCID 0000-0003-1524-1811
Fabio Vita1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.ORCID 0000-0002-2834-3027
Tosca Cerasoli1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.ORCID 0000-0003-1111-5869
Alberto Arceri1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.ORCID 0000-0002-6486-6300
Elena ArtioliDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy.ORCID 0000-0001-9279-4722
Antonio MazzottiDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy.ORCID 0000-0001-9974-4787
Cesare FaldiniDIBINEB Dipartimento di scienze biomediche e neuromotorie, University of Bologna, Bologna, Italy.ORCID 0000-0001-8152-4778

Funding

Università di Bologna CRUI CARE Agreement
6 · The paper itself

Abstract

backgroundThe diagnosis of adolescent idiopathic scoliosis requires clinical and radiographic evaluation; the management options vary depending on the severity of the curve and potential for progression. Identifying predictors of scoliosis progression is crucial to avoid incorrect management; clinical and radiographic factors have been studied as potential predictors. The present study aims to review the literature on radiological indexes for the peak height velocity or curve acceleration phase to help clinicians manage treatment of patients with adolescent idiopathic scoliosis.

methodsThis systematic review was carried out in accordance with Preferential Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The search was carried out including only peer-reviewed articles written in English that described the radiological indexes assessing skeletal maturity in patients with adolescent idiopathic scoliosis and evaluated their correlation with curve progression, expressed as peak height velocity and/or curve acceleartion phase.

resultsThirteen studies were included and showed promising results in terms of reliable radiological indexes. Risser staging gives a general measure of skeletal maturity, but it cannot be used as a primary index for driving the treatment of patients with adolescent idiopathic scoliosis since more reliable indexes are available.

conclusionSkeletal maturity quantification for adolescent idiopathic scoliosis has the potential to significantly modify disease management. However, idiopathic scoliosis is a complex and multifactorial disease: therefore, it is unlikely that a single index will ever be sufficient to predict its evolution. Therefore, as more adolescent idiopathic scoliosis progression-associated indexes are identified, a collective scientific effort should be made to develop a therapeutic strategy based on reliable and reproducible algorithms.

Indexed as

RadiologyScoliosisAdolescentAge Determination by SkeletonDisease ProgressionHumansRadiographyRetrospective StudiesAdolescentBone ageCurve progressionRadiographyRisserScoliosisSpine

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.