A new risk classification rule for curve progression in adolescent idiopathic scoliosis.
BACKGROUND
Prognostic factors for curve progression of adolescent idiopathic scoliosis (AIS) have been reported previously. There is only one existing rule that classifies AIS patients into two groups by a curvature of 25°.


OBJECTIVE
This study aimed to develop a more refined risk classification rule for AIS.


METHODS
This was a retrospective cohort study.


METHODS
We examined 2,308 untreated AIS patients, aged 10 years and older, who had a Risser sign of 2 and lesser and a curvature less than 30° at presentation.


METHODS
Outcome was taken as the time to progression to 30°.


METHODS
Patients' clinical parameters were analyzed by Classification and Regression Tree analysis.


RESULTS
The new classification rule identified four risk groups of curve progression. Patients with a curvature of 26° and more and less than 18° constituted the highest and lowest risk groups, respectively. The two intermediate groups were identified by the age (11.3 years), menarcheal status, and body height (154 cm).


CONCLUSIONS
The risk classification rule only uses information at the first presentation and can aid physicians in deriving an efficient management.
School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
C F
CF
Lee
Daniel Y T
DY
Fong
Kenneth M C
KM
Cheung
Jack C Y
JC
Cheng
Bobby K W
BK
Ng
T P
TP
Lam
Paul S F
PS
Yip
Keith D K
KD
Luk
D000293:Adolescent; D002648:Child; D019468:Disease Management; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D011859:Radiography; D012044:Regression Analysis; D012189:Retrospective Studies; D018570:Risk Assessment; D012600:Scoliosis / Q000145:classification / Q000175:diagnosis*; D013131:Spine / Q000000981:diagnostic imaging*