Résumé
Le développement rachidien dans les segments scoliotiques (Th4-L4) chez 110 jeunes filles présentant une scoliose idiopathique non traitée, a été évalué d'après deux radiographies successives espacées en moyenne de 1.1 année. Lors du premier examen, l'âge moyen des patients était de 14 ans (11–16), la valuer angulaire myoenne des courbures majeures était de 24 degrés (9–38) et celle des courbures mineures de 14 degrés (2–38). La croissance rachidienne atteignait sa valeur maximale à l'âge de 11–12 ans. La progression des courbures (majeure+mineure) a été corrélée à la croissance rachidienne (r=0.384). La corrélation entre la croissance rachidienne et la progression des courbures étaient plus importante que les courbures initiales étaient plus prononcées (r=0.046–0.639). Cette corrélation s'est montrée plus significative dans les scolioses thoraciques (r=0.560) que dans les scolioses thoraco-lombaires et lombaires (r=0.152).
Summary
The spinal growth in scoliotic segments (T4-L4) of 110 girls with untreated idiopathic scoliosis was measured from two successive radiographs taken at a mean interval of 1.1 years. At the first visit the mean age of the patients was 14 years (range 11–16 years), the mean magnitude of the major curves 24° (range 9°–38°) and that of the minor curves 14° (range 2°–38°). Spinal growth was most rapid at the age of 11–12 years. The progression of the curves (major plus minor) correlated with the spinal growth (r=0.384). The greater the initial curves were, the stronger the correlation was between the spinal growth and the progression of the curves (r=0.046–0.639), and the correlation was more significant in thoracic scoliosis (r=0.560) than in thoracolumbar and lumbar scoliosis (r=0.152).
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Ylikoski, M. Spinal growth and progression of adolescent idiopathic scoliosis. Eur Spine J 1, 236–239 (1993). https://doi.org/10.1007/BF00298366
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DOI: https://doi.org/10.1007/BF00298366