Abstract
Spinal posture and the resultant changes during the entire pubertal growth period have not been reported previously. No cohort study has focused on the development of spinal posture during both the ascending and the descending phase of peak growth of the spine. The growth and development of a population-based cohort of 1060 children was followed up for a period of 11 years. The children were examined 5 times, at the ages of 11, 12, 13, 14 and 22 years. A total of 430 subjects participated in the final examination. Sagittal spinal profiles were determined using spinal pantography by the same physician throughout the study. Thoracic kyphosis was more prominent in males at all examinations. The increasing tendency towards thoracic kyphosis continued in men, but not in women. The degree of lumbar lordosis was constant during puberty and young adulthood. Women were more lordotic at all ages. Thoracic hyperkyphosis of ≥45° was as prevalent in boys as girls at 14 years, but significantly (P<0.0001) more prevalent in men (9.6%) than in women (0.9%) at 22 years. The degree of mean thoracic kyphosis and the prevalence of hyperkyphosis increased in men during the descending phase of peak growth of the spine, but decreased in women.
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Nissinen M, Heliövaara M, Tallroth K, Poussa M (1989) Trunk asymmetry and scoliosis. Anthropometric measurements in prepubertal school children. Acta Paediatr Scand 78:747–753
Nissinen M, Heliövaara M, Ylikoski M, Poussa M (1993) Turnk asymmetry and screening for scoliosis: a longitudinal cohort study of pubertal schoolchildren. Acta Paediatr Scand 82:77–82
Nissinen M, Heliövaara M, Seitsamo J, Poussa M (1993) Trunk asymmetry, posture, growth and risk of scoliosis. A three-year follow-up study of Finnish prepubertal school children. Spine 18:8–13
Nissinen M, Heliövaara M, Seitsamo J, Alaranta H, Poussa M (1994) Anthropometric measurements and the incidence of low-back pain in a cohort of pubertal children. Spine 19:1367–1370
Nissinen M (1995) Spinal posture during pubertal growth. Acta Pediatr 84:308–312
Nissinen M, Heliövaara M, Seitsamo J, Poussa M (1995) Left handedness and the risk of thoracic hyperkyphosis in prepubertal schoolchildren. Int J Epidemiol 24:1178–1181
Nissinen MJ, Heliövaara MM, Seitsamo JT, Könönen MH, Hurmerinta KA, Poussa MS (2000) Development of trunk asymmetry in a cohort of children ages 11 to 22 years. Spine 25:570–574
Stagnara P, DeMauroy J, Dran G et al. (1982) Reciprocal angulation of vertebral bodies in sagittal plane: approach to references for the evaluation of kyphosis and lordosis. Spine 7:335–342
Widhe T (2001) Spine: posture, mobility and pain. A longitudinal study from childhood to adolescence. Eur Spine J 10:118–123
Willner S (1983) Spinal pantograph—a non-invasive technique for describing kyphosis and lordosis in the thoracolumbar spine. J Pedatr Orthop 3:245–249
Willner S, Johnson B (1983) Thoracic kyphosis and lumbar lordosis during the growth period in children. Acta Paediatr Scand 72:873–878
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Poussa, M.S., Heliövaara, M.M., Seitsamo, J.T. et al. Development of spinal posture in a cohort of children from the age of 11 to 22 years. Eur Spine J 14, 738–742 (2005). https://doi.org/10.1007/s00586-004-0701-9
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DOI: https://doi.org/10.1007/s00586-004-0701-9