Scoliosis and Prognosis—a systematic review regarding patient-specific and radiological predictive factors for curve progression

Abstract Introduction Idiopathic scoliosis, defined as a > 10° curvature of the spine in frontal plane, is one most common spinal deformities. Age, initial curve magnitude and other parameters define whether scoliotic deformity will progress or not. Still, their interactions amounts individual contribution are not fully elaborated were aim this systematic review. Methods A literature search was conducted databases using MESH terms, searching for predictive factors progression adolescent idiopathic scoliosis (“adolescent scoliosis” OR “ais” “idiopathic scoliosis”) AND (“predictive factors” “progression” “curve progression” “prediction” “prognosis”). The identified analysed each study rated to design top five scale relevant factors. Results Twenty-eight investigations with 8255 patients by search. Patient-specific risk from age (at diagnosis < 13 years), family history, bone mineral status (< 110 mg/cm 3 quantitative CT) height velocity (7–8 cm/year, peak 11.6 ± 1.4 years). Relevant radiological criteria indicating included skeletal maturity, marked Risser stages (Risser 1) Sanders Maturity Scale (SMS 5), extent Cobb angle (> 25° progression) location (thoracic single double curve). Discussion This review summarised current state knowledge basis creation patient-specific algorithms regarding calculation progressive deformity. Curve factor, followed maturity location.