ArticleJB & JS open access
The Utility of Cervical Vertebral Maturation Method for Staging Skeletal Growth and Curve Progression in Patients with Adolescent Idiopathic Scoliosis.
Article in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- What's New in Spine Surgery.The Journal of bone and joint surgery. American volume · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Cervical vertebral maturation (CVM) is a skeletal maturity method that can be assessed routinely on whole spine radiographs to minimize radiation exposure. Originally used in orthodontics, its role in staging adolescent growth spurt and curve progression in adolescent idiopathic scoliosis (AIS) remains unclear. The aim of this study was to investigate growth rates across CVM stages, its cutoff for indicating peak growth (PG) versus growth cessation (GC), and its relationship with coronal curve progression. Methods: One hundred forty-two AIS patients were prospectively followed from Risser stage 0, until growth completion. Longitudinal data collected included arm span (AS), body height (BH), sitting height (SH), coronal Cobb angle, and maturity assessments. CVM was evaluated through its relationship with growth rates and curve progression rates. A total of 1107 spine radiographs corresponding to longitudinal growth rates were analyzed to detect PG and GC in each patient, with predictive accuracy assessed using receiver operating characteristic curve analysis. Curve progression rate of each CVM stage in treatment-naïve patients was plotted against timing to peak curve progression. Results: CVM correlated most with Proximal Femur Maturity Index (PFMI) (τ Conclusions: CVM stage 3 indicates peak growth, while stage 6 marks growth cessation. In this cohort of AIS patients, GC is more accurately predicted than PG by CVM. Peak curve progression occurred between CVM stage 3 and CVM stage 4. Clinical Relevance: This study highlights CVM method's ability in indicating timing of growth cessation. CVM can be used to indicate curve progression beyond peak growth, especially until the point of growth cessation. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.