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The participants were divided into nine groups (n\u2009=\u200916 each) based on HWMS. Fractal analysis was performed on the radiographs of the radius, the middle finger phalanges (proximal, medial and distal), and the cervical vertebral bodies (C2, C3, C4). Mean and standard deviation values, Spearman\u2019s and Pearson correlation analyses, one-way ANOVA, Kruskal-Wallis H tests and Mann-Whitney-U test were used to evaluate the data.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Positive correlations were found between the FD values of the radius and HWMS or CVMS <jats:italic>(r\u2009=\u2009.559, P\u2009=\u2009.001, r\u2009=\u2009.528 P\u2009=\u2009.001<\/jats:italic> respectively<jats:italic>).<\/jats:italic> The FD values of the radius were positively correlated with those of all cervical vertebrae (C2, C3, C4), proximal and medial phalanges as well as age. FD values measured from the proximal phalanx, medial phalanx and radius showed significant differences among both HWMS and CVMS <jats:italic>(P\u2009&lt;\u2009.05).<\/jats:italic> HWMS was strongly correlated with CVMS <jats:italic>(r\u2009=\u2009.929, P\u2009=\u2009.001<\/jats:italic>). Age was strongly correlated with HWMS (<jats:italic>r\u2009=\u2009.795, P\u2009=\u2009.001<\/jats:italic>) and CVMS <jats:italic>(r\u2009=\u2009.756, P\u2009=\u2009.001)<\/jats:italic>. There was a significant difference in terms of age distribution among HWMS and CVMS <jats:italic>(P\u2009&lt;\u2009.05)<\/jats:italic>.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>FD measurements on hand-wrist radiographs can provide useful information for the assessment of skeletal maturation stage. Especially, FD measurements from the radius are important and more reliable to predict skeletal maturation stage.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12903-023-03483-0","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T10:02:24Z","timestamp":1698314544000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Assessment of correlation between hand-wrist maturation and cervical vertebral maturation: a fractal analysis study"],"prefix":"10.1186","volume":"23","author":[{"given":"\u0130lknur","family":"Eninan\u00e7","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeynep \u00c7oban","family":"B\u00fcy\u00fckbayraktar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"3483_CR1","doi-asserted-by":"crossref","unstructured":"Xavier AM, Chandra HS, Vijay M. 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