[Systematic Long-term Screening of Scolioses.].

Area of Science:

• Orthopedics and Sports Medicine
• Pediatric Health
• Public Health Screening

Context:

• Scoliosis affects children and adolescents, requiring early detection for effective management.
• Previous screening methods had limitations in accuracy and cost-effectiveness.
• A 14-year regional screening program was established to evaluate a novel approach.

Purpose:

• To assess the efficacy of a scoliosis screening protocol using Adams' test and a mechanical scoliometer.
• To determine the detection rate and characteristics of scoliosis in different growth stages.
• To evaluate the cost-effectiveness and impact of the screening program on severe scoliosis incidence.

Summary:

• A 14-year scoliosis screening program in a defined region utilized Adams' test and a scoliometer.
• The criterion for detection was 5 degrees of back asymmetry (17 degrees Cobb).
• 603 children with scoliosis were detected, predominantly adolescent girls with idiopathic scoliosis.
• The scoliometer demonstrated comparable results to the moiré technique with low false positivity (5.2%).
• Early-stage deformities (grade Ib) were identified, allowing for timely intervention.
• The screening program was cost-effective and led to a reduced incidence of severe scoliosis.

Impact:

• Reduced incidence of severe scoliosis cases.
• Decreased healthcare expenditure associated with scoliosis treatment (orthotics, surgery).
• Established a cost-effective and efficient screening model for pediatric scoliosis.
• Facilitated timely intervention for spinal deformities, improving patient outcomes.