TITLE:
Another Look at Skeletal Maturation Using Hand Wrist and Cervical Vertebrae Evaluation
AUTHORS:
Thomas J. Cangialosi, V. Jason Vives
KEYWORDS:
Skeletal Maturation, Cervical Vertebrae, Hand-Wrist
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.1,
January
11,
2018
ABSTRACT: Introduction and Aims—The
Growth stage of a patient can have considerable influence on diagnosis,
treatment goals, timing and planning and the eventual outcome of
orthodontic/orthopedic treatment. The purpose of this study was to analyze
associations between the cervical vertebrae maturation score (CVMS) and
skeletal maturation index (SMI). The second objective was to determine the
reproducibility of the measurements on lateral cephalograms and hand-wrist radiographs. Materials and Methods—Lateral cephalometric and left hand-wrist
radiographs of 92 untreated subjects (44 females and 48 males) aged from 8 to
17 years were obtained from the files of the Columbia University, Division of
Orthodontics and measured for growth stage using cervical vertebrae and hand-wrist
methods. Results—A high correlation was revealed between the hand-wrist
and cervical vertebrae measurements. The Spearman’s rho correlation coefficient
was 0.925 and significant at the 0.01 level. The correlation between hand-wrist
and age (0.665, p Conclusions—The Fishman’s hand and wrist skeletal maturation
index and Bacetti’s cervical vertebrae maturation stages are both useful tools
in evaluating growth stages. Fishman’s hand-wrist method is slightly more accurate.