Standardization of skeletal maturity assessment

Abstract

<p>At the initial presentation of patients diagnosed with adolescent idiopathic scoliosis (AIS), appropriate management is based upon the consideration of multiple parameters. These parameters include the type and magnitude of the scoliotic curve, gender, the age of onset, and maturity status. By assessing the amount of growth potential remaining, clinicians can determine the risk of curve progression and decide whether any treatment is needed promptly and make the prognosis of the treatment. Various maturity indicators have been used worldwide, both clinical and radiographic parameters can be used to assess growth status. Skeletal maturity has been shown to be a reliable indicator for pubertal growth and for biological maturation. However, the practice of using skeletal maturity measures varies between countries. In this chapter, we aim to provide an overview of the various maturity assessment methods and provide recommendations on how to utilize them effectively in our daily clinical practice.<br></p>