Scoliosis from all causes, with the sole exception of adult degenerative
deformity, is a disorder of growth. Physicians who treat spinal deformities in
children and adolescents should have a basic understanding of growth and its
relationship to the progression of scoliosis and be capable of making an
accurate determination of maturity. The purpose of this review is to describe
the relationship of growth to the progression of scoliosis, to delineate the
various methods of determining maturity, and to describe reasonable ways of
evaluating maturity in clinical practice.