Prevalence of scoliosis and cost-effectiveness of screening in schools in Turkey

Uğraş, Akın; Yılmaz, Murat; Sungur, İbrahim; Kaya, İbrahim; Koyuncu, Yasin; Çetinus, Mahmut Ercan

doi:10.3233/bmr-2010-0247

Cited by 27 publications

(43 citation statements)

References 22 publications

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“…In Bosnia Herzegovina 83.5% of referred cases were detected to have scoliosis with lower threshold of 10 degrees without any serious curvature. 12 In a Turkish study, major curve of >20 degrees was detected in 27.3% of the referred cases 38 which is slightly lower than our study (33.33%). …”

Section: Discussioncontrasting

confidence: 61%

“…6,7,8,9 Screening at school for the early detection of scoliosis has been introduced and being practiced in many countries. [10][11][12][13][14][15][16][17][18][19][20][21][33][34][35][36][37][38][39][40] Previous studies have both encouraged 7,8,31,33,37,41 and discouraged routine screening. Opponents to scoliosis screening have focused on concerns about a low predictive value of screening, and the cost effectiveness of referral.…”

Section: Introductionmentioning

confidence: 99%

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Detection of Adolescent Idiopathic Scoliosis among Nepalese Children Through the School Screening Program

Pokharel

Lakhey

Kafle

et al. 2014

Nepal Ortho. Assoc. J.

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Introduction: Idiopathic Adolescent Scoliosis (IAS) is the commonest type of scoliosis without any known cause. There has been studies in different countries and population on IAS; and its prevalence rate varies for different population. There has been no reported study done in Nepal on prevalence of adolescent idiopathic scoliosis (AIS). The aim of this study was to detect and evaluate the prevalence of idiopathic adolescent scoliosis in school children in different parts of Nepal.Methods: This was a descriptive cross sectional study conducted at Þ ve schools from different geographical parts of Nepal, from January 2010 to December 2010. Scoliosis screening was done in 5 schools from different geographical locations of Nepal. Children (from grade 6 to 10; age more than 10 years) with positive Adam's forward bending test and scoliometer angle of 5 degrees or more were subjected for radiographic evaluation of the spine. The criterion for the diagnosis of scoliosis was detection of Cobb's angle of more than 10 degrees. Evaluation of scoliosis according to the age, gender, ethnic group, spinal region and magnitude of curve was done.Results: Out of 1094 children screened, 31 (2.83%) were referred for radiological evaluation; and 12 of them had lateral spinal curvature of more than 10 degrees. Hence the prevalence of scoliosis was 1.09%. The girl to boy ratio of distribution of scoliosis was 3:1 for larger curves of more than 20 degrees. Maximum number of scoliosis cases was seen in girls of 13 years, and the right sided thoracic scoliosis was most common. There is no ethnic predominance of scoliosis. Conclusion:Prevalence of idiopathic scoliosis among school children who need treatment in Nepal is low; however, school screening program has its epidemiological value.

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Section: Discussioncontrasting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Detection of Adolescent Idiopathic Scoliosis among Nepalese Children Through the School Screening Program

Pokharel

Lakhey

Kafle

et al. 2014

Nepal Ortho. Assoc. J.

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“…Another research conducted in the city of Ribeirão Preto, state of São Paulo, Brazil, observed postural changes in 378 schoolchildren aged six to 14 years-old and identified 23.5% of suspected cases of scoliosis (11) . However, a study conducted in Turkey with more than 4,000 children found a 2.5% prevalence of scoliosis (5) . Regardless of the site where postural changes are assessed in schoolchildren, scoliotic attitude is present, and screening studies of this deviation could be highly cost-effective (5) .…”

Section: Discussionmentioning

confidence: 99%

“…However, a study conducted in Turkey with more than 4,000 children found a 2.5% prevalence of scoliosis (5) . Regardless of the site where postural changes are assessed in schoolchildren, scoliotic attitude is present, and screening studies of this deviation could be highly cost-effective (5) .…”

Section: Discussionmentioning

confidence: 99%

“…Bad posture may be related to muscle and emotional issues, which could generate positional or structural deviations if the individual remains in inappropriate positions for a long time (4) . Among the main factors associated with postural changes and back pain in schoolchildren, the following should be mentioned: gender (depending on the deviation to be assessed) (1)(2)(3)(4)(5) , body composition, time spent watching television, and socioeconomic status (2) .…”

Section: Introductionmentioning

confidence: 99%

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Desvios posturais em escolares de uma cidade do Sul do Brasil

Bueno¹,

Rech

2013

Rev. paul. pediatr.

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Objective: To verify the prevalence of trunk postural deviations (lumbar hyperlordosis, dorsal kyphosis, and scoliosis) in scholars aged eight to 15 years-old from the city schools of Caxias do Sul, Southern Brazil.Method: A total of 864 students were evaluated in a crosssectional study. The variables studied were trunk postural rating by visual inspection; body mass index (weight and height); backpack weight on digital scale and how students used to carry the school supplies (questionnaire); gender; and age. Descriptive and bivariate statistics (prevalence ratio and confidence interval) were applied.Results: The prevalence of postural deviations was 16.6% for dorsal kyphosis, 27.9% for lumbar hyperlordosis, and 33.2% for scoliosis. The ages of eight to 12 years-old were a risk factor for lumbar hyperlordosis, tripling the chances of this outcome (3.41 prevalence ratio). The same age was a protective factor for dorsal kyphosis. Scholars of this age group presented 52% less chances for dorsal kyphosis. The female gender had 47% less chances of having dorsal kyphosis than males. Scoliotic attitude did not show significant association with the independent variables.Conclusions: These findings confirm the need for interventions by health and education professionals, seeking to correct bad postural habits, which could in the future cause irreversible damages.Key-words: school health; adolescent health; spine; posture. RESUMOObjetivo: Verificar a prevalência de desvios posturais do tronco (hiperlordose lombar, hipercifose dorsal e escoliose) em escolares de oito a 15 anos da rede municipal de ensino de Caxias do Sul, Rio Grande do Sul, Brasil.Método: Avaliaram-se 864 estudantes, por meio de um estudo transversal. As variáveis estudadas foram análise postural do tronco por inspeção visual; índice de massa corpórea (peso e altura); peso da mochila (balança digital); a forma como os escolares transportavam o material escolar (questionário); sexo e idade. Foi utilizada estatística descritiva e bivariada, representada por razão de prevalência e intervalo de confiança.Resultados: As prevalências de desvios posturais observadas foram de 16,6% para hipercifose dorsal, 27,9% para hiperlordose lombar e 33,2% para atitude escoliótica. A idade de oito a 12 anos apresentou-se como fator de risco para hiperlordose lombar. Os escolares pertencentes a tal faixa etária demonstraram 3,41 vezes mais chance de ter o desfecho em questão. Para a hipercifose dorsal, a mesma idade mostrou-se como fator de proteção. Os estudantes 8-12 anos tiveram 52% menos chances de desenvolver hipercifose dorsal. O sexo feminino apresentou 47% menos chances de ter hipercifose dorsal em relação ao masculino. A atitude escoliótica não apresentou associação significativa com as variáveis independentes.Conclusões: Os achados confirmam a necessidade de intervenções por parte dos profissionais de saúde e educação, buscando corrigir hábitos inadequados de postura corporal, os quais, com o tempo, podem se agravar e causar danos irreversíveis.Palavras-chave...

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Single‐nucleotide polymorphism in Turkish patients with adolescent idiopathic scoliosis: Curve progression is not related with MATN‐1, LCT C/T‐13910, and VDR BsmI

Yilmaz

Zateri

Uludağ

et al. 2012

Journal Orthopaedic Research

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The role of genetics in the etiopathogenesis of adolescent idiopathic scoliosis (AIS) is unclear. In this study, we investigated the relationship between AIS and polymorphisms in MATN-1, LCT C/T-13910, and VDR BsmI genes. 53 Turkish adolescents with diagnosed AIS and 54 healthy adult individuals were included in the study. MATN-1, LCT C/T-13910, and VDR BsmI gene mutations were analyzed with real-time PCR. We did not detect a statistically significant difference between AIS and control groups in respect to those three different gene polymorphisms (p < 0.05). We next evaluated the associations of all three SNPs with scoliosis curve severity. There was no significant difference between curve severity and gene polymorphisms (p < 0.05). In terms of gene polymorphisms, AIS patients with a family history of AIS did not significantly differ from AIS patients who did not have history (p < 0.05). AIS might be caused by many different gene mutations, biomechanical mechanisms that have been modified by environmental factors, different biological interactions, modulation of growth, or a synergy of different factors causing abnormal control of growth. However, the existing knowledge is still not enough to explain the etiopathogenesis of AIS. Scoliosis is the three-dimensional structural deformation of the spine, where the spine curves on a coronal plane showing a lateral deviation of 108 or more.1 Scoliosis might develop due to congenital, neuromuscular, metabolic, and/or idiopathic causes. 2,3 In 80% of the cases, the cause is not revealed and such cases are called idiopathic scoliosis. Clinical observations and studies with monozygote and dizygote individuals with idiopathic scoliosis showed that hereditary or genetic factors might have a role in development of this disease.

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Prevalence of scoliosis and cost-effectiveness of screening in schools in Turkey

Cited by 27 publications

References 22 publications

Detection of Adolescent Idiopathic Scoliosis among Nepalese Children Through the School Screening Program

Detection of Adolescent Idiopathic Scoliosis among Nepalese Children Through the School Screening Program

Desvios posturais em escolares de uma cidade do Sul do Brasil

Single‐nucleotide polymorphism in Turkish patients with adolescent idiopathic scoliosis: Curve progression is not related with MATN‐1, LCT C/T‐13910, and VDR BsmI

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