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Outcome of spinal screening
1Loma Linda University Medical Center, California.
Spine
|September 15, 1993
Summary
This study on spinal screening in high school students found that 7 degrees of angle of trunk rotation (ATR) is an effective referral criterion. Spinal screening can reduce scoliosis surgeries but doesn't lower overall care costs.
Area of Science:
- Orthopedics
- Public Health
- Pediatrics
Background:
- Spinal deformities like scoliosis are common in adolescents.
- Early detection through screening is crucial for effective management.
- Current screening methods and referral criteria require evaluation.
Purpose of the Study:
- To determine the prevalence of spinal deformity in high school students.
- To establish an appropriate angle of trunk rotation (ATR) as a screening referral criterion.
- To compare the outcomes of screened versus non-screened populations.
Main Methods:
- Scoliometer screening of 1,000 high school students.
- Measurement of angle of trunk rotation (ATR).
- Analysis of prevalence data and projected referral rates.
Main Results:
- Eighty percent of students exhibited 3 degrees or more ATR.
- A 7 degrees ATR criterion predicts a 3% referral rate.
- A 5 degrees ATR criterion predicts a 12% referral rate.
Conclusions:
- Spinal screening is effective in reducing the need for scoliosis surgery.
- A 7 degrees ATR is proposed as an appropriate referral criterion.
- Screening does not decrease the total cost of scoliosis care.