Risk factors for idiopathic scoliosis: review of a 6-year prospective study (Journal article)

Soucacos, P. N./ Zacharis, K./ Soultanis, K./ Gelalis, J./ Xenakis, T./ Beris, A. E.

This study identified factors associated with the prevalence of idiopathic scoliosis and curve evolution in schoolchildren from northwestern and central Greece. A total of 85,627 children aged 9-15 years were screened for scoliosis. A subset of children with curves of at least 10 degrees underwent clinical and radiographic follow-up. The total population screened and the cohort followed for curve progression were evaluated according to factors associated with curve evolution. The prevalence of scoliosis was 1.7%, with most cases appearing at ages 13 and 14 years and small scoliotic curves (10 degrees-19 degrees) being most prevalent (prevalence 1.5%). Prevalence was associated with gender; age; and magnitude, apex, and direction of the curve. Progression of the curve occurred in 14.7% of 839 children, while 27.4% demonstrated spontaneous improvement of at least 5 degrees. A high risk of curve progression was associated with the following: sex--girls, curve pattern--right thoracic and double curves in girls and right lumbar in boys, maturity--girls before the onset of menses, age--time of pubertal growth spurt, and curve magnitude--curves > or = 30 degrees. Although only a small percentage of scoliotic curves undergo progression, the pattern of the curve according to curve direction and the sex of the child plays a significant role in the ability to identify which curves will progress.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Adolescent,Age Distribution,Child,Disease Progression,Female,Follow-Up Studies,Greece/epidemiology,Humans,Male,Mass Screening/*methods,Prevalence,Prospective Studies,Risk Factors,Scoliosis/diagnosis/*epidemiology/*physiopathology,Sex Distribution
URI: https://olympias.lib.uoi.gr/jspui/handle/123456789/18545
ISSN: 0147-7447
Link: http://www.ncbi.nlm.nih.gov/pubmed/10952046
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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