Screening for Idiopathic Scoliosis in Adolescents

Richards, B. Stephens; Vitale, Michael G.

doi:10.2106/jbjs.g.01276

Cited by 93 publications

(77 citation statements)

References 28 publications

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“…Patients were included regardless of Lenke classification or curve severity. Only patients with a body mass index below 30 kg/m [2] were selected to ensure an acceptable image resolution for 3D reconstruction purposes. Patients with neuro-muscular disorders, congenital spinal abnormalities, and other musculoskeletal disorders such as spondylolisthesis, and hip or knee pathologies were excluded.…”

Section: Methodsmentioning

confidence: 99%

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Bi-planar spinal stereoradiography of adolescent idiopathic scoliosis: considerations in 3D alignment and functional balance

et al. 2016

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Section: Methodsmentioning

confidence: 99%

“…While non-radiographic clinical evaluation of the spine in adolescent idiopathic scoliosis (AIS) can indicate skeletal asymmetries [2,3], frontal and sagittal spinal X-rays in a natural standing posture can quantify the scoliotic curvature and sagittal alignment for screening, surgical planning, and follow-up [4].…”

Section: Introductionmentioning

confidence: 99%

Bi-planar spinal stereoradiography of adolescent idiopathic scoliosis: considerations in 3D alignment and functional balance

et al. 2016

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“…EB [27,28] 1994 CTFPHE ? EB [29] 2002 NHMRC NO EB [3] 2004 USPSTF NO EB [30] 2005 Italian guidelines YES CB [18] 2007 SOSORT YES CB [19] 2007 California a YES EC [15] 2008 SRS, AAOS, POSNA, AAP YES CB [17,31] The search terms ''scoliosis'' and ''screening'' were used to search the registries of systematic reviews, guideline databases and portals of screening recommendations. In PubMed the MeSH terms ''scoliosis'' and ''mass screening'' as well as the free terms ''scoliosis'' and ''screening'' were used together with the filters ''review'' and ''meta-analysis''.…”

Section: S-80smentioning

confidence: 99%

Are current scoliosis school screening recommendations evidence-based and up to date? A best evidence synthesis umbrella review

Płaszewski¹,

Bettany‐Saltikov

2014

Eur Spine J

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Purpose Recommendations addressing school screening for adolescents with idiopathic scoliosis are contradictory. Consequently a critical evaluation of the methodological quality of available systematic reviews, including those upon which these recommendations are based, was conducted. Methods Articles meeting the minimal criteria to be considered a systematic review were included for a best evidence synthesis, umbrella review of secondary studies. The primary outcome measure was ''any recommendation addressing the continuation, or not, of school screening programs''. Multiple general bibliographic databases, guideline registries, as well as websites of institutions were searched. The AMSTAR tool was used to critically appraise the methodology of included reviews. Venn diagrams were created to examine potential overlaps across included papers within different reviews. Results Six reviews undertaken between 2002 and 2011, scored as moderate to low quality, were included. The 2012 US Preventive Services Task Force recommendation against screening was found to be based on an outdated (2004) low-quality review, whilst two higher quality and more recent (2009 and 2010) reviews support the continuation of school screening programs.Conclusions As the existing recommendations supporting screening are based on moderate quality evidence whilst the recommendations against screening are based on lowquality evidence, the latter recommendations appear to be both unconvincing and methodologically invalid.

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“…30 American Academy of Orthopaedic Surgeons(AAOS), the Scoliosis Research Society (SRS), the Pediatric Orthopaedic Society of North America (POSNA), and the American Academy of Pediatrics (AAP), representing the primary care N OA J J uly -D e c e m be r 2 01 3| Vol 3| Iss ue 2 providers for adolescents with idiopathic scoliosis, do not support any formal recommendations against scoliosis screening. The AAOS, SRS, POSNA, and AAP maintain their commitment to avoid the inappropriate use of spine radiographs.…”

Section: Figure 1 Anatomical Distribution Of Curvementioning

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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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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Screening for Idiopathic Scoliosis in Adolescents

Cited by 93 publications

References 28 publications

Bi-planar spinal stereoradiography of adolescent idiopathic scoliosis: considerations in 3D alignment and functional balance

Bi-planar spinal stereoradiography of adolescent idiopathic scoliosis: considerations in 3D alignment and functional balance

Are current scoliosis school screening recommendations evidence-based and up to date? A best evidence synthesis umbrella review

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

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