Biondi J, Weiner D S, Bethem D, Reed J F
J Pediatr Orthop. 1985 Nov-Dec;5(6):697-701. doi: 10.1097/01241398-198511000-00013.
At the present, there appears to be a lack of unanimity in the choice of whether the Risser sign (iliac apophysis maturation) or determination of skeletal maturation by bone age roentgenograms is the more accurate indicator of maturity in adolescent idiopathic scoliosis. In an effort to clarify this issue, the authors correlated data from 111 patients to determine the relationship between accuracy of Risser sign and bone age determinations performed during similar chronologic intervals. Data from bone age determinations were then correlated with Risser sign data, and a regression line statistical determination was made. The iliac crest apophysis maturation was statistically significantly (p less than 0.01) correlated with data retrieved by skeletal age assessment.
目前，对于在青少年特发性脊柱侧凸中，里塞尔征（髂骨骨骺成熟度）或通过骨龄X线片确定骨骼成熟度哪一个是更准确的成熟度指标，在选择上似乎缺乏一致性。为了阐明这个问题，作者对111例患者的数据进行了关联分析，以确定里塞尔征的准确性与在相似时间间隔内进行的骨龄测定之间的关系。然后将骨龄测定数据与里塞尔征数据进行关联，并进行了回归线统计测定。髂嵴骨骺成熟度与通过骨骼年龄评估获得的数据在统计学上具有显著相关性（p小于0.01）。
