The role of melatonin in the pathogenesis of adolescent idiopathic scoliosis (AIS)

European Spine Journal

S. Cervellati²  M. Girardo¹  E. Dema²  N. Bettini² 

[1] Department of Spine Surgery, C.T.O./C.R.F./Maria Adelaide, Via Zuretti 29, 10126 Turin, Italy;Scoliosis and Spine Surgery Center, Hesperia Hospital, Via Arquà 80/A, 41100 Modena, Italy

关键词: Scoliosis;    Melatonin;    Chicken;    Melatonin receptor;    Pineal gland;   

DOI  :  10.1007/s00586-011-1750-5

学科分类：骨科学

来源: Springer

【 摘 要 】

The cause of adolescent idiopathic scoliosis (AIS) in humans remains obscure and probably multifactorial. At present, there is no proven method or test available to identify children or adolescent at risk of developing AIS or identify which of the affected individuals are at risk of progression. Reported associations are linked in pathogenesis rather than etiologic factors. Melatonin may play a role in the pathogenesis of scoliosis (neuroendocrine hypothesis), but at present, the data available cannot clearly show the role of melatonin in producing scoliosis in humans. The data regarding human melatonin levels are mixed at best, and the melatonin deficiency as a causative factor in the etiology of scoliosis cannot be supported. It will be an important issue of future research to investigate the role of melatonin in human biology, the clinical efficacy, and safety of melatonin under different pathological situations. Research is needed to better define the role of all factors in AIS development.

【 授权许可】

Unknown