Abnormal Skeletal Growth Patterns in Adolescent Idiopathic Scoliosis

  • Houria Kaced Department of Physical Medicine and Rehabilitation, University Hospital, Djillali Bounaama, Rue des freres Halim, Douera, Algiers. Blida1 University, Faculty of Medicine, BP 270 Route de Soumaa, Blida, Algeria.
  • Belabbassi Hanene Department of Physical Medicine and Rehabilitation, University Hospital, Djillali Bounaama, Rue des freres Halim, Douera, Algiers. Blida1 University, Faculty of Medicine, BP 270 Route de Soumaa, Blida, Algeria.
  • Assia Haddouche Department of Rhumatology, Blida Public Hospital, Avenue Kritli Mokhtar, Blida. Blida1 University, Faculty of Medicine, BP 270 Route de Soumaa, Blida, Algeria.
Keywords: adolescent idiopathic scoliosis, school screening, anthropometric parameters, skeletal growth patterns.


Background: Adolescent Idiopathic Scoliosis (AIS) occurs among children during their pubertal growth spurt. Although there is no clear consensus on the difference in body height between AIS and healthy controls, it is generally thought that the development and curve progression in patients with AIS is closely associated with their growth rate.

Our aim is to compare the anthropometric parameters of children with AIS and those of a control   group within different age groups ranging from 9 to 16 years old.

Methods: It is a prospective, cross-sectional, case-control study which include 431children, 258 girls, 110 with AIS and 148 healthy controls, whereas in the group of males 173, 49 have AIS and 124 don’t have deformity.

Anthropometric parameters, clinical examination of the trunk and radiological assessment of the spine are records. The statistical analysis is performed using SPSS package.

Children are examined from a school-screening program in our physical medicine department in the university hospital of Douera in Algiers. Measurements are assessed, including anthropometric parameters (body height, body weight, secondary sexual characters using Tanner stage, puberty age), trunk asymmetry and Cobb angle of scoliosis.

Results: Girls with AIS are generally taller, with a higher weight than the healthy controls with a significant difference at the age of 12 years old. Otherwise, boys with AIS aged of 14 years are significantly taller than their controls.

Conclusion: The growth patterns in terms of tallness with AIS are significantly different from healthy controls at the ages of 12 for girls and 14 for boys.


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1. Busscher I; Wapstra FH; Veldhuizen AG. Predicting growth and curve progression in the individual patient with adolescent idiopathic scoliosis: design of a prospective longitudinal cohort study.BMC Musculoskeletal Disorders [BMC MusculoskeletDisord] 2010 May 17; Vol. 11, pp. 93.
PMid:20478013 PMCid:PMC2881883
2. Biondi J, Weiner DS, Bethem D, Reed JF 3rd (1985) Correlation of Risser sign and bone age determination in adolescent idiopathic scoliosis. J PediatrOrthop 5:697–701
3. Bjure J, Nachemson A (1973) Non-treated scoliosis. ClinOrthop Relat Res 93:44–52.
4. Bunnel W.P. The natural history of idiopathic scoliosis before skeletal maturity. Spine 1986; 11 (8): 773-6
5. Cheng JC, Leung SS, Lau J (1996) Anthropometric measurements and body proportions among Chinese children. ClinOrthop. Relat Res 323:22–30
6. Duval-Beaupère G. Pathogenic relationship between scoliosis and growth. Scoliosis and growth. Sorab, Livingstone, Edinbourg and London, 1971, 58.
7. Duval-Beaupère G., Barthel. F. La croissance des scoliotiques. Rev.Chr.Orthop. 1983; 69: 201-206
8. Duval-BeaupèreG . Les lois d'évolutivité des scolioses. Application pratique. Réunion conjointe GES et SRSQ. Montréal, 1979.
9. Goldberg CJ, Fogarty EE, Moore DP, Dowling FE (1997) Scoliosis and developmental theory: adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 22:2228–2237 discussion 2237–2228
10. Guillaumat.M. Lebard J.P., Khoury N., Tassin J.L. Scoliose idiopathique en période de croissance. Encycl.Med.Chir (Paris-France). AppareilLocomoteur, 15874 A10, 1991.
11. Kaced, H. Belabbassi, H. School Screening for Scoliosis in Algiers. Results of a survey conducted in 1995-1996. SOSORT 20-23 May, 2009; Lyon, France
12. Lonstein J.E. Natural history and School Screening for Scoliosis. OrthopClin North Am 1988; 19: 227-37.
13. Nachemson A. . Etiology and Natural History of Scoliosis. 1st European Congress on Scoliosis and Kyphosis. Dubrovnik 1983
14. Sanders JO, Browne RH, Cooney TE, Finegold DN, McConnellSJ, Margraf SA (2006) Correlates of the peak height velocity in girls with idiopathic scoliosis. Spine (Phila Pa 1976) 31: 2289–2295
15. Siu King Cheung C, Tak Keung Lee W, Kit Tse Y, Ping Tang S, Man Lee K, Guo X, Qin L, Chun Yiu Cheng J (2003) Abnormalperi-pubertal anthropometric measurements and growth pattern in adolescent idiopathic scoliosis: a study of 598 patients. Spine (Phila Pa 1976) 28:2152–2157
16. Subileau. La Scoliose, Dépistage Précoce. Journée du 2-10-1982. La Baule.
17. Tanner J.M. Growth at Adolescence. Blackwell Scientific Publications, ed., Oxford, 2° ed., 1962
18. Wang Wei-Jun • Sun Xu • Wang Zhi-Wei, QiuXu-sheng • Liu Zhen • Qiu Yong. Abnormal anthropometric measurements and growth pattern in male adolescent idiopathic scoliosis Eur. Spine J. (2012) 21:77–83
PMid:21826498 PMCid:PMC3252435
19. Weinstein SL, Ponseti IV (1983) Curve progression in idiopathic scoliosis. J Bone JtSurg Am 65:447–455
20. Weinstein S.L. Idiopathic Scoliosis. Natural history. Spine 1986; 11 (8): 780 - 783.
21. Willner S (1974) Growth in height of children with scoliosis. ActaOrthopScand 45:854–866
22. Winter R.B. Adolescent IdiopathicScoliosis. N. Engl. J. Med.314, 1379 - 1380.
23. Winter R.B, Banta J.V, Engler G. Screening for Scoliosis (Letter) JAMA 1995; 273:185 – 186
24. Yasuo Y, Takuo Y, and Yoshiyuki A. Prediction of Curve Progression in Idiopathic Scoliosis based on Initial Roentgenograms. A Proposal of an Equation. Spine 1988; 13 (11): 1258 - 1261.
25. Yim Annie P. Y, Yeung Hiu-Yan, Hung Vivian W. Y, Kwong-Man Lee, Tsz-Ping Lam, Yong Qiu, Jack C. Y. Cheng. Abnormal Skeletal Growth Patterns in Adolescent Idiopathic Scoliosis. A Longitudinal Study until Skeletal Maturity. Spine. 2012;37 (18):E1148-E1154
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