Med J Bakirkoy. 2021; 17(1): 41-47 | DOI: 10.5222/BMJ.2021.85547

The forensic staging system for iliac crest apophysis provides more detailed clinical follow-up data than Risser classification

Can Doruk Basa, Ismail Eralp Kacmaz
Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, Ýzmir, Turkey

Objective: This study investigated the clinical utility of a “forensic staging system” for iliac crest apophysis ossification widely used in idiopathic scoliosis patients.
Method: Radiographs of 98 scoliosis patients (76 females, 22 males; age range: 5–24 years) were examined and 196 iliac crest apophyses were evaluated.
Results: The forensic staging system has four stages, with substages for stages 2 (2a–c) and 3 (3a–c). Of the 196 iliac crests evaluated, 65 were stage 2 (Risser stage 4–5) and 6 were stage 3 (Risser stage 5).
Conclusion: The forensic staging system for iliac crest apophysis provided more detailed clinical follow-up data. Studies with larger series may help to improve the forensic staging system.

Keywords: classification, orthopedics, pelvis, scoliosis

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Ýliak krest apofizi için adli evreleme sistemi ile Risser sýnýflandýrmasýnýn karþýlaþtýrmasý

Can Doruk Basa, Ismail Eralp Kacmaz
S.B.Ü. Ýzmir Tepecik Eðitim ve Araþtýrma Hastanesi, Ortopedi ve Travmatoloji Kliniði, Ýzmir, Türkiye

Amaç: Bu çalýþmada, idiyopatik skolyoz hastalarýnda yaygýn olarak kullanýlan iliak krest apofiz ossifikasyonunun adli evreleme sistemiyle deðerlendirilmesi amaçlanmýþtýr.
Yöntem: 98 skolyoz hastasýnýn (76 kadýn, 22 erkek; yaþ aralýðý: 5-24 yaþ) radyografileri incelendi ve 196 iliak krest apofizi adli evreleme sistemine göre deðerlendirildi.
Bulgular: Adli evreleme sisteminde dört evre ve altý alt evre vardýr (1,2a-c,3a-c ve 4). Deðerlendirilen 196 iliak kanat grafisinden 65’inin evre 2 (Risser evre 4-5) ve 6’sýnýn evre 3 (Risser evre 5) olduðu saptandý.
Sonuç: Ýliak krest apofizi için adli evreleme sistemi, daha ayrýntýlý klinik takip verileri saðlamýþtýr. Daha geniþ serilerle yapýlan çalýþmalar, adli evreleme sistemini iyileþtirmeye yardýmcý olabilir.

Anahtar Kelimeler: sýnýflandýrma, ortopedi, pelvis, skolyoz

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