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Updated: Jun 26, 2025

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Is refractive error a factor affecting scoliosis?

Jianru Cai1, Yue Zhou1, Xiaojuan Chen1

  • 1Department of Ophthalmology, Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.

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Summary
This summary is machine-generated.

Refractive errors like myopia do not influence scoliosis development in children. However, lower body mass index, rural living, and older age are associated with increased scoliosis risk.

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Area of Science:

  • Pediatric Orthopedics
  • Ophthalmology
  • Epidemiology

Background:

  • Scoliosis is a common pediatric spinal disorder requiring surgical intervention.
  • Refractive errors are prevalent globally, impacting vision.
  • The relationship between refractive errors and scoliosis development is not well-established.

Purpose of the Study:

  • To investigate the correlation between various refractive errors and the development of scoliosis in school-aged children.
  • To identify other potential risk factors associated with scoliosis in this population.

Main Methods:

  • A cross-sectional study was conducted in Nantong City, China, in 2023.
  • Stratified cluster sampling included school-aged students.
  • Univariate and multivariate logistic regression analyses examined correlations between scoliosis and parameters including refractive errors, body mass index (BMI), living area, and age.

Main Results:

  • The prevalence of scoliosis was 2.2% among students.
  • Myopia, hyperopia, astigmatism, and anisometropia showed no significant correlation with scoliosis development (p≥0.05).
  • Lower BMI (aOR=0.92), rural residence (aOR=1.40), and older age (aOR=1.32) were significantly associated with higher scoliosis risk.

Conclusions:

  • Refractive errors are not correlated with the development of pediatric scoliosis.
  • Lower BMI, residing in rural areas, and older age are identified as significant risk factors for scoliosis.