Orthopedics

Risser Classification & Skeletal Maturity for Scoliosis

Evaluates iliac apophysis ossification stages (0 to 5), remaining spinal growth, and scoliosis progression risk.

Parameters

Risser Classification & Skeletal Maturity for Scoliosis Result

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FormulaGraded 0 to 5 based on excursion of iliac apophysis ossification from ASIS laterally to PSIS medially.

Clinical Pearls

The classic radiologic staging tool used worldwide to determine timing of brace initiation, brace weaning, and surgical correction in adolescent scoliosis.

Limitations

Risser 0 encompasses a wide window of development; hand/wrist skeletal age (Sanders simplified maturity score) provides higher precision around peak height velocity.