Bunch W H, Dvonch V M
J Pediatr Orthop. 1983 May;3(2):220-2. doi: 10.1097/01241398-198305000-00013.
Nonoperative treatment protocols in adolescent scoliosis require that growth is still occurring. The open iliac apophyses and vertebral ring apophyses are usually considered evidence that growth remains. Studies of adolescent skeletons are not consistent with this view, and one such example is presented. Of clinical importance is that determinant of immaturity should be based on the secondary sexual characteristics, not roentgenographic shadows.
青少年脊柱侧弯的非手术治疗方案要求生长仍在进行。开放的髂骨骨骺和椎体环骨骺通常被视为生长仍在继续的证据。对青少年骨骼的研究与这一观点并不一致，本文给出了一个这样的例子。具有临床重要性的是，不成熟的决定因素应基于第二性征，而非X线影像。
