[논문]APSS-ASJ Best Clinical Research Award: Predictability of Curve Progression in Adolescent Idiopathic Scoliosis Using the Distal Radius and Ulna Classification

Cheung, Jason Pui Yin; Cheung, Prudence Wing Hang; Samartzis, Dino; Luk, Keith Dip-Kei

doi:10.4184/asj.2018.12.2.202

APSS-ASJ Best Clinical Research Award: Predictability of Curve Progression in Adolescent Idiopathic Scoliosis Using the Distal Radius and Ulna Classification 원문보기

Asian spine journal : Official Journal of Korean Society of Spine Surgery, v.12 no.2, 2018년, pp.202 - 213

Cheung, Jason Pui Yin (Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China.) , Cheung, Prudence Wing Hang (Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China.) , Samartzis, Dino (Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China.) , Luk, Keith Dip-Kei (Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China.)

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Study DesignProspective study.PurposeTo determine the risk of clinically significant curve progression in adolescent idiopathic scoliosis (AIS) based on the initial Cobb angle and to test the utility of the distal radius and ulna (DRU) classification in predicting these outcomes.Overview of LiteratureDetermining the remaining growth potential in AIS patients is necessary for predicting prognosis and initiating treatment. Limiting the maturity Cobb angle to <40° and <50° reduces the risk of adulthood progression and need for surgery, respectively. The risk of curve progression is the greatest with skeletally immature patients and thus warrants close monitoring or early intervention. Many parameters exist for measuring the skeletal maturity status in AIS patients, but the DRU classification has been shown to be superior in predicting peak growth and growth cessation. However, its predictive capabilities for curve progression are unknown.MethodsTotally, 513 AIS patients who presented with Risser 0–3 were followed until either skeletal maturity or the need for surgery, with a minimum 2-year follow-up period. Outcomes of 40° and 50° were used for probability analysis based on the cut-offs of adulthood progression risk and surgical threshold, respectively.ResultsAt the R6/U5 grade, most curves (probability of ≥48.1%–55.5%) beyond a Cobb angle of 25° progressed to the 40° threshold. For curves of ≥35°, there was a high risk of unfavorable outcomes, regardless of skeletal maturity. Most patients with the R9 grade did not progress, regardless of the initial curve magnitude (probability of 0% to reach the 50° threshold for an initial Cobb angle of ≥35°).ConclusionsThis large-scale study illustrates the utility of the DRU classification for predicting curve progression and how it may effectively guide the timing of surgery. Bracing may be indicated for skeletally immature patients at an initial Cobb angle of 25°, and those with a scoliosis ≥35° are at an increased risk of an unfavorable outcome, despite being near skeletal maturity.

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참고문헌 (35)

1 Cheung JP Cheung PW Samartzis D Cheung KM Luk KD The use of the distal radius and ulna classification for the prediction of growth: peak growth spurt and growth cessation Bone Joint J 2016 98-B 1689 1696 27909133
2 Cheung JPY Luk KD Managing the pediatric spine: growth assessment Asian Spine J 2017 11 804 816 29093792
3 Weinstein SL Dolan LA Spratt KF Peterson KK Spoonamore MJ Ponseti IV Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study JAMA 2003 289 559 567 12578488

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4 Sanders JO Newton PO Browne RH Herring AJ Bracing in adolescent idiopathic scoliosis, surrogate outcomes, and the number needed to treat J Pediatr Orthop 2012 32 Suppl 2 S153 S157 22890455
5 Sitoula P Verma K Holmes L Jr Prediction of curve progression in idiopathic scoliosis: validation of the Sanders Skeletal Maturity Staging System Spine (Phila Pa 1976) 2015 40 1006 1013 26356067
6 Weinstein SL Dolan LA Wright JG Dobbs MB Effects of bracing in adolescents with idiopathic scoliosis N Engl J Med 2013 369 1512 1521 24047455

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7 Weinstein SL Ponseti IV Curve progression in idiopathic scoliosis J Bone Joint Surg Am 1983 65 447 455 6833318
8 Rahman T Bowen JR Takemitsu M Scott C The association between brace compliance and outcome for patients with idiopathic scoliosis J Pediatr Orthop 2005 25 420 422 15958887

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9 Katz DE Durrani AA Factors that influence outcome in bracing large curves in patients with adolescent idiopathic scoliosis Spine (Phila Pa 1976) 2001 26 2354 2361 11679821
10 Landauer F Wimmer C Behensky H Estimating the final outcome of brace treatment for idiopathic thoracic scoliosis at 6-month follow-up Pediatr Rehabil 2003 6 201 207 14713586
11 Cheung KM Cheng EY Chan SC Yeung KW Luk KD Outcome assessment of bracing in adolescent idiopathic scoliosis by the use of the SRS-22 questionnaire Int Orthop 2007 31 507 511 16896864

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12 Ugwonali OF Lomas G Choe JC Effect of bracing on the quality of life of adolescents with idiopathic scoliosis Spine J 2004 4 254 260 15125845

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13 Vasiliadis E Grivas TB Savvidou O Triantafyllopoulos G The influence of brace on quality of life of adolescents with idiopathic scoliosis Stud Health Technol Inform 2006 123 352 356 17108451
14 Wong CK Cheung PW Samartzis D Mapping the SRS-22r questionnaire onto the EQ-5D-5L utility score in patients with adolescent idiopathic scoliosis PLoS One 2017 12 e0175847 28414745

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15 Cheung PW Wong CK Lau ST Cheung JP Responsiveness of the EuroQoL 5-dimension (EQ-5D) in adolescent idiopathic scoliosis Eur Spine J 2018 27 278 285 28993884
16 Cheung PW Wong CK Samartzis D Psychometric validation of the EuroQoL 5-dimension 5-level (EQ-5D-5L) in Chinese patients with adolescent idiopathic scoliosis Scoliosis Spinal Disord 2016 11 19 27525314
17 Deng L Hu Y Cheung JP Luk KD A data-driven decision support system for scoliosis prognosis IEEE Access 2017 5 7874 7884

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18 Cheung JP Samartzis D Cheung PW Cheung KM Luk KD Reliability analysis of the distal radius and ulna classification for assessing skeletal maturity for patients with adolescent idiopathic scoliosis Global Spine J 2016 6 164 168 26933618

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19 Cheung JP Samartzis D Cheung PW Leung KH Cheung KM Luk KD The distal radius and ulna classification in assessing skeletal maturity: a simplified scheme and reliability analysis J Pediatr Orthop B 2015 24 546 551 26196369
20 Cheung JP Cheung PW Samartzis D Luk KD Curve progression in adolescent idiopathic scoliosis does not match skeletal growth Clin Orthop Relat Res 2018 476 429 436 29389797

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21 Karol LA Virostek D Felton K Jo C Butler L The effect of the Risser stage on bracing outcome in adolescent idiopathic scoliosis J Bone Joint Surg Am 2016 98 1253 1259 27489315
22 Biondi J Weiner DS Bethem D Reed JF 3rd Correlation of Risser sign and bone age determination in adolescent idiopathic scoliosis J Pediatr Orthop 1985 5 697 701 4066945

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23 Dhar S Dangerfield PH Dorgan JC Klenerman L Correlation between bone age and Risser's sign in adolescent idiopathic scoliosis Spine (Phila Pa 1976) 1993 18 14 19 8434315
24 Hoppenfeld S Lonner B Murthy V Gu Y The rib epiphysis and other growth centers as indicators of the end of spinal growth Spine (Phila Pa 1976) 2004 29 47 50 14699275
25 Little DG Sussman MD The Risser sign: a critical analysis J Pediatr Orthop 1994 14 569 575 7962495

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26 Shuren N Kasser JR Emans JB Rand F Reevaluation of the use of the Risser sign in idiopathic scoliosis Spine (Phila Pa 1976) 1992 17 359 361 1566172
27 Tanner JM Whitehouse RH Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty Arch Dis Child 1976 51 170 179 952550

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28 Tanner JM Whitehouse RH Hughes PC Carter BS Relative importance of growth hormone and sex steroids for the growth at puberty of trunk length, limb length, and muscle width in growth hormone-deficient children J Pediatr 1976 89 1000 1008 993900

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29 Tanner JM Whitehouse RH Marubini E Resele LF The adolescent growth spurt of boys and girls of the Harpenden growth study Ann Hum Biol 1976 3 109 126 1275435

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30 Sanders JO Khoury JG Kishan S Predicting scoliosis progression from skeletal maturity: a simplified classification during adolescence J Bone Joint Surg Am 2008 90 540 553 18310704
31 Thompson RM Hubbard EW Jo CH Virostek D Karol LA Brace success is related to curve type in patients with adolescent idiopathic scoliosis J Bone Joint Surg Am 2017 99 923 928 28590377
32 Cheung JPY Yiu KK Vidyadhara S Chan PP Cheung PW Mak KC Predictability of supine radiographs for determining in-brace correction for adolescent idiopathic scoliosis Spine (Phila Pa 1976) 2017 12 01 [Epub] 10.1097/BRS.0000000000002503

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33 Eyvazov K Samartzis D Cheung JP The association of lumbar curve magnitude and spinal range of motion in adolescent idiopathic scoliosis: a cross-sectional study BMC Musculoskelet Disord 2017 18 51 28143455
34 Shigematsu H Cheung JP Bruzzone M Preventing fusion mass shift avoids postoperative distal curve adding-on in adolescent idiopathic scoliosis Clin Orthop Relat Res 2017 475 1448 1460 28050819

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35 Yao G Cheung JP Shigematsu H Characterization and predictive value of segmental curve flexibility in adolescent idiopathic scoliosis patients Spine (Phila Pa 1976) 2017 42 1622 1628 27997505

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APSS-ASJ Best Clinical Research Award: Predictability of Curve Progression in Adolescent Idiopathic Scoliosis Using the Distal Radius and Ulna Classification 원문보기

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