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Inter- and intra-rater reliability and accuracy of Sanders Skeletal Maturity Staging System when used by surgeons performing vertebral body tethering.

Lauren M SwanyA Noelle LarsonTodd A MilbrandtJames O SandersKevin M NealLaurel C BlakemorePeter O NewtonJoshua M PahysPatrick J CahillAhmet Alanay
Published in: Spine deformity (2021)
The current-state use of SSMS across pediatric orthopedic surgeons for evaluation of AIS patients displays adequate but imperfect precision and accuracy with difficulties delineating SSMS stages 2 through 4, which correlate with adolescent growth periods germane to scoliosis growth modulation surgery. Centralized assessment of hand-bone age may help ensure standardized reporting for non-fusion scoliosis research.
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