title: Post-trauma scoliosis after conservative treatment of thoracolumbar spinal fracture in children and adolescents: results in 48 patients.
abstract: OBJECTIVE
  Authors examined a case series of patients younger than 18 years old who had sustained a traumatic thoracolumbar spine fracture to evaluate radiological and clinical findings of coronal spinal balance, after conservative treatment.
  
  
  METHODS
  From 1996 to 2014, a tricentric cohort of 48 patients with an average age of 12 years was radiographically reviewed at 50 months. Cobb angle of fractured vertebra and regional Cobb angle were measured both at baseline and follow-up. Analyses were done according to initial Risser grade, number of fractures and level of injury.
  
  
  RESULTS
  There was a total of 11 scoliosis. In group with Risser grade 3 or above, with a single vertebral fracture and lumbar fracture, final regional Cobb angle was statistically higher than initial regional Cobb angle.
  
  
  CONCLUSIONS
  The prevalence of scoliosis in our population is higher than those of idiopathic scoliosis; Risser grade 3 or above, lumbar fracture and a single fracture seem to account for more severe coronal deformation.
authors.affiliation: Department of Pediatric Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France. angelliaume.audrey@gmail.com.
authors.forename: Audrey
authors.initials: A
authors.lastname: Angelliaume
authors.affiliation: Department of Pediatric Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Aurore
authors.initials: A
authors.lastname: Bouty
authors.affiliation: Department of Pediatric Orthopaedics, Purpan University Hospital, Place du Docteur Baylac, 31059, Toulouse, France.
authors.forename: Jérôme
authors.initials: J
authors.lastname: Sales De Gauzy
authors.affiliation: Department of Adult Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Vital
authors.affiliation: Department of Adult Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Gille
authors.affiliation: Department of Adult Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Louis
authors.initials: L
authors.lastname: Boissière
authors.affiliation: Department of Adult Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Clément
authors.initials: C
authors.lastname: Tournier
authors.affiliation: Department of Adult Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Aunoble
authors.affiliation: Department of Pediatric Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Jean-Roger
authors.initials: JR
authors.lastname: Pontailler
authors.affiliation: Department of Pediatric Orthopaedics, Pellegrin University Hospital, Place Amélie Raba-Léon, 33076, Bordeaux, France.
authors.forename: Yan
authors.initials: Y
authors.lastname: Lefèvre
mesh_terms: D000293:Adolescent; D001699:Biometry; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D015995:Prevalence; D012189:Retrospective Studies; D012600:Scoliosis / Q000453:epidemiology*; D016103:Spinal Fractures / Q000453:epidemiology* / Q000628:therapy; D013904:Thoracic Vertebrae / Q000293:injuries*
keywords: Children and adolescents; Conservative treatment; Scoliosis; Thoracolumbar fracture; Vertebral growth