Abstract
Axial skeleton has two rapid growth periods from birth to 5 years and during puberty. The length of spine will nearly triple in length between birth and adulthood: At birth the vertebral column (C1-sacrum) is approximately 24 cm long while at maturity 65 cm in women and 70 cm in men. The growth of spine, thoracic cage, and lungs are closely associated with each other. Disturbance within spinal or thoracic growth will adversely affect lung growth and maturation. A critical length for thoracic spine needed for sufficient lung volume appears to be 18 cm, which is the length of normal thoracic spine at the age of 5 years.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akbarnia, B.A., Marks, D.S., Boachie-Adjei, O., et al.: Dual growing rod technique for the treatment of progressive early-onset scoliosis. A multicenter study. Spine 30, S46–S57 (2005)
Boffa, P., Stovin, P., Shneerson, J.: Lung developmental abnormalities in severe scoliosis. Thorax 39, 681–682 (1984)
Campbell, R.M., Fallon, M.C., Moore, D.P., et al.: The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J. Bone Joint Surg. Am. 85-A, 399–408 (2003)
Campbell Jr., R.M., Smith, M.D., Hell-Vocke, A.K.: Expansion thoracoplasty: the surgical technique of opening wedge thoracostomy. J. Bone Joint Surg. Am. 86-A(Suppl 1), 51–64 (2004a)
Campbell Jr., R.M., Smith, M.D., Mayes, T.C., et al.: The effect of opening wedge thoracostomy on thoracic insufficiency syndrome associated with fuse ribs and congenital scoliosis. J. Bone Joint Surg. Am. 86-A, 1659–1674 (2004b)
Canavese, F., Dimeglio, A., Volpatti, D., et al.: Dorsal arthrodesis of thoracic spine and effects on thorax growth in prepubertal New Zealand white rabbits. Spine 32, E443–E450 (2007)
Carpintero, P., Mesa, M., Garcia, J., Carpintero, A.: Scoliosis induced by asymmetric lordosis and rotation: an experimental study. Spine 22, 2202–2206 (1997)
Davies, G., Reid, L.: Growth of the alveoli and pulmonary arteries in childhood. Thorax 25, 669–681 (1970)
Davies, G., Reid, L.: Effect of scoliosis on growth of alveoli and pulmonary arteries and on right ventricle. Arch. Dis. Child. 46, 623–632 (1971)
Dimeglio, A.: Growth of the spine before the age 5 years. J. Pediatr. Orthop. B 1, 102–107 (1992)
Dimeglio, A.: Growth in pediatric orthopedics. In: Morrissy, R.T., Weinstein, S.L. (eds.) Lovell and Winter’s Pediatric Orthopaedics, 6th edn, pp. 35–65. Lippincott Williams & Wilkins, Philadelphia (2006)
Dimeglio, A., Bonnel, F.: Le rachis en croissance (The Spinal Column in Growth). Springer, Paris (1990)
Dubousset, J., Herring, J.A., Shufflebarger, H.: The crankshaft phenomenon. J. Pediatr. Orthop. 9, 541–550 (1989)
Emans, J.B., Caubet, J.F., Ordonez, C.L., et al.: The treatment of spine and chest wall deformities with fused ribs by expansion thoracostomy and insertion of vertical expandable prosthetic titanium rib. Spine 30, S58–S68 (2005)
Ganey, T.M., Ogden, J.A.: Development and maturation of the axial skeleton. In: Weinstein, S.L. (ed.) The Pediatric Spine. Principles and Practice, 2nd edn, pp. 3–54. Lippincott Williams & Wilkins, Philadelphia (2001)
Gilsanz, V., Boechat, I.M., Birnberg, F.A., et al.: Scoliosis after thoracotomy for esophageal atresia. AJR Am. J. Roentgenol. 141, 457–460 (1983)
Hallock, H., Francis, K.C., Jones, J.B.: Spine fusion in young children: a long-term end-result study with particular reference to growth effects. J. Bone Joint Surg. Am. 39, 481–491 (1957)
Hefti, F.L., McMaster, M.J.: The effect of the adolescent growth spurt on early posterior spinal fusion in infantile and juvenile idiopathic scoliosis. J. Bone Joint Surg. Br. 65-B, 247–254 (1983)
Karol, L.A., Johnston, C., Mladenov, K.: Pulmonary function following early thoracic fusion in non-neuromuscular scoliosis. J. Bone Joint Surg. Am. 90-A, 1272–1281 (2008)
Langenskiöld, A., Michelsson, J.E.: Experimental progressive scoliosis in the rabbit. J. Bone Joint Surg. Br. 43-B, 116–120 (1961)
Lenke, L.G., Dobbs, M.G.: Management of juvenile idiopathic scoliosis. J. Bone Joint Surg. Am. 89-A, 55–63 (2007)
Mayer, O.H., Redding, G.: Early changes in pulmonary function after vertical expandable prosthetic titanium rib insertion in children with thoracic insufficiency syndrome. J. Pediatr. Orthop. 29, 35–38 (2009)
McCarthy, R.E., Cullogh, F.L., Luhmann, S.J., Lenke, L.G.: Shilla growth enhancing system for the treatment of scoliosis in children: greater than two year follow-up. Scoliosis research society 43rd annual meeting, Salt Lake (2008) p. 107
Pehrsson, K., Bake, B., Larsson, S., Nachemsson, A.: Lung function in adult idiopathic scoliosis: a 20 year follow up. Thorax 46, 474–478 (1991)
Pehrsson, K., Larsson, S., Oden, A., Nachemsson, A.: Long-term follow-up of patients with untreated scoliosis. A study of mortality, causes of death, and symptoms. Spine 17, 1091–1096 (1992)
Puisto, V., Kääriäinen, S., Impinen, A., et al.: Incidence of spinal and spinal cord injuries and their surgical treatment in children and adolescents. A population based study. Spine 35, 104–107 (2010)
Ramirez, N., Cornier, A.S., Campbell, R.M., Carlo, S., Arroyo, S., Romeu, J.: Natural history of thoracic insufficiency syndrome: a spondylothoracic dysplasia perspective. J. Bone Joint Surg. Am. 89, 2663–2675 (2007)
Ruf, M., Jensen, R., Letko, L., Harms, J.: Hemivertebra resection and osteotomies in congenital spine deformity. Spine 34, 1791–1799 (2009)
Sankar, W., Skaggs, D., Yacizi, M., et al.: Lengthening of dual growing rods: is there a law of diminishing returns? Paper #15 presented at 3rd international congress on early onset scoliosis and growing spine, Istanbul, Turkey, 20–21 Nov 2009
Sevastik, J., Agadir, M., Sevastik, B.: Effect of rib elongation on the spine. Spine 15, 822–829 (1990)
Shufflebarger, H.L., Clark, C.E.: Prevention of the crankshaft phenomenon. Spine 16(Suppl 8), S409–S411 (1991)
Sistonen, S., Helenius, I., Peltonen, J., et al.: Natural history of spinal anomalies and scoliosis assosiated with esophageal atresia. Pediatrics 124, 1198–1204 (2009)
Sponseller, P.D., Yazici, M., Demetracopoulos, C., Emans, J.B.: Evidence basis for management of spine and chest wall deformities in children. Spine 32, S81–S90 (2007)
Thurlbeck, W.M.: Postnatal human lung growth. Thorax 37, 564–571 (1982)
Winter, R.B.: Scoliosis and growth. Orthop. Rev. 6, 17–20 (1977)
Winter, R.B., Moe, J.H.: The results of spinal arthrodesis for congenital spinal deformity in patients younger than five years old. J. Bone Joint Surg. Am. 64-A, 419–432 (1982)
Winter, R.B., Moe, J.H., Lonstein, J.E.: Posterior spinal arthrodesis for congenital scoliosis. J. Bone Joint Surg. Am. 66-A, 1188–1197 (1984)
Yazici, M., Emans, J.: Fusionless instrumentation system for congenital scoliosis. Expandable spinal rods and vertical expandable prosthetic titanium rib in the management of congenital spine deformities in the growing child. Spine 34, 1800–1807 (2009)
Zhang, H., Sucato, D.J.: Unilateral pedicle screw epiphysiodesis of the neurocentral synchondrosis. Production of idiopathic-like scoliosis in an immature animal model. J. Bone Joint Surg. Am. 90-A, 2460–2469 (2008)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Helenius, I.J. (2011). Normal and Abnormal Growth of Spine. In: Yazici, M. (eds) Non-Idiopathic Spine Deformities in Young Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19417-7_1
Download citation
DOI: https://doi.org/10.1007/978-3-642-19417-7_1
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-19416-0
Online ISBN: 978-3-642-19417-7
eBook Packages: MedicineMedicine (R0)