What are Risser grades?

What are Risser grades?

Risser grading is traditionally used to estimating the future growth potential of the adolescent spine, particularly in the setting of spinal scoliosis. Risser originally recognized that ossification of the iliac apophyses approximately parallels the ossification of the vertebral apophyses.

What is the Risser grade in scoliosis?

Risser divided the steps of ossification and fusion of the iliac apophysis into six stages (Risser Stages 0–5), with the higher numbers describing advancement toward skeletal maturity.

What does Risser stage 4 mean?

Risser 4 indicates ossification of the iliac crest apophysis at 75% or more. “Capping” from lateral to medial (outside to inside) is nearly complete and skeletal maturity is approaching. From our perspective, there is more to say about Risser 4 than the other Risser stages.

What does Risser 1 mean?

Risser stage 0 or 1 could indicate years of skeletal growth still to go and a major growth spurt in the future, whereas Risser stage 4 or 5 could indicate little or no growth remains.

What does Risser stage 2 mean?

Risser 2 means that the child is still growing, but by this point the rate of growth has typically slowed down. By Risser 2, most girls have experienced menarche, and boys have experienced voice change. Growth continues, although usually not at the rate it has in previous months.

What does Risser 5 mean?

Risser 5 is the last Risser sign. It indicates skeletal maturity. An x-ray will show complete ossification and fusion of the iliac crest apophysis. An example of Risser 5, as seen on a pelvic x-ray.

What is stage2 Risser?

What does Risser 2 mean?

What is a Risser cast?

Serial Risser casting is a safe and effective intermediate treatment for EOS. It can stabilize relatively large curves in young children and allows the child to reach a more suitable age for other forms of treatment, such as growing rods.

What is a Risser jacket?

Risser jacket – a scoliosis plaster jacket.

What is a Mehta cast?

A Mehta cast is a plaster and fiberglass cast used to help treat early onset scoliosis (EOS). Mehta casts slowly and gently correct spine deformities. They prevent them from getting worse. Your child will have a series of several Mehta casts that are changed every two to three months as they grow.

What is Schroth therapy?

The Schroth Method is a nonsurgical option for scoliosis treatment. It uses exercises customized for each patient to return the curved spine to a more natural position. The goal of Schroth exercises is to de-rotate, elongate and stabilize the spine in a three-dimensional plane.