Skip to main content

Normal and Abnormal Growth of Spine

  • Chapter
  • First Online:
Non-Idiopathic Spine Deformities in Young Children

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

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)

    Article  PubMed  Google Scholar 

  • Boffa, P., Stovin, P., Shneerson, J.: Lung developmental abnormalities in severe scoliosis. Thorax 39, 681–682 (1984)

    Article  PubMed  CAS  Google Scholar 

  • 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)

    PubMed  Google Scholar 

  • 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)

    PubMed  Google Scholar 

  • 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)

    PubMed  Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • Carpintero, P., Mesa, M., Garcia, J., Carpintero, A.: Scoliosis induced by asymmetric lordosis and rotation: an experimental study. Spine 22, 2202–2206 (1997)

    Article  PubMed  CAS  Google Scholar 

  • Davies, G., Reid, L.: Growth of the alveoli and pulmonary arteries in childhood. Thorax 25, 669–681 (1970)

    Article  PubMed  CAS  Google Scholar 

  • 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)

    Article  PubMed  CAS  Google Scholar 

  • Dimeglio, A.: Growth of the spine before the age 5 years. J. Pediatr. Orthop. B 1, 102–107 (1992)

    Article  Google Scholar 

  • 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)

    Google Scholar 

  • Dimeglio, A., Bonnel, F.: Le rachis en croissance (The Spinal Column in Growth). Springer, Paris (1990)

    Google Scholar 

  • Dubousset, J., Herring, J.A., Shufflebarger, H.: The crankshaft phenomenon. J. Pediatr. Orthop. 9, 541–550 (1989)

    Article  PubMed  CAS  Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • 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)

    Google Scholar 

  • Gilsanz, V., Boechat, I.M., Birnberg, F.A., et al.: Scoliosis after thoracotomy for esophageal atresia. AJR Am. J. Roentgenol. 141, 457–460 (1983)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  Google Scholar 

  • 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)

    Google Scholar 

  • 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)

    Article  Google Scholar 

  • Langenskiöld, A., Michelsson, J.E.: Experimental progressive scoliosis in the rabbit. J. Bone Joint Surg. Br. 43-B, 116–120 (1961)

    PubMed  Google Scholar 

  • Lenke, L.G., Dobbs, M.G.: Management of juvenile idiopathic scoliosis. J. Bone Joint Surg. Am. 89-A, 55–63 (2007)

    Article  Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • Pehrsson, K., Bake, B., Larsson, S., Nachemsson, A.: Lung function in adult idiopathic scoliosis: a 20 year follow up. Thorax 46, 474–478 (1991)

    Article  PubMed  CAS  Google Scholar 

  • 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)

    Article  PubMed  CAS  Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • Ruf, M., Jensen, R., Letko, L., Harms, J.: Hemivertebra resection and osteotomies in congenital spine deformity. Spine 34, 1791–1799 (2009)

    Article  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • Sevastik, J., Agadir, M., Sevastik, B.: Effect of rib elongation on the spine. Spine 15, 822–829 (1990)

    PubMed  CAS  Google Scholar 

  • Shufflebarger, H.L., Clark, C.E.: Prevention of the crankshaft phenomenon. Spine 16(Suppl 8), S409–S411 (1991)

    PubMed  CAS  Google Scholar 

  • Sistonen, S., Helenius, I., Peltonen, J., et al.: Natural history of spinal anomalies and scoliosis assosiated with esophageal atresia. Pediatrics 124, 1198–1204 (2009)

    Article  Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • Thurlbeck, W.M.: Postnatal human lung growth. Thorax 37, 564–571 (1982)

    Article  PubMed  CAS  Google Scholar 

  • Winter, R.B.: Scoliosis and growth. Orthop. Rev. 6, 17–20 (1977)

    Google Scholar 

  • 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)

    Google Scholar 

  • 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)

    Google Scholar 

  • 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)

    Article  PubMed  Google Scholar 

  • 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)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ilkka J. Helenius .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics