Prevalence, risk of progression and quality of life assessment in adolescents undergoing school screening for adolescent idopathic scoliosis

Translated title of the contribution: Prevalence, risk of progression and quality of life assessment in adolescents undergoing school screening for adolescent idopathic scoliosis

Marcela Cárcamo*, Pamela Espinoza, Macarena Rodas, Óscar Urrejola, Josette Bettany-Saltikov, Theodoros B. Grivas

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: To determine the prevalence of adolescent idiopathic scoliosis (AIS), progression risk, and quality of life in students aged from 10 to 18 years. Patients and Method: Cross-sectional descriptive study in students 10-18 years old from 5 communes in Santiago, Chile, between 2015-2016. Adam’s Test was performed and the angle trunk rotation (ATR) at the thoracic, thoracolumbar, and lumbar levels were measured with a scoliometer. If ATR was ≥ 6°, anteroposterior and lateral radiological images of the spine were taken, and Cobb angle was measured. Scoliosis was confirmed if the Cobb angle was ≥ 10° plus vertebral rotation. Progression factor was calculated with Lonstein and Carlson formula. Quality of life was assessed through spinal deformities questionnaires and the trunk appearance perception scale. Results: 1200 students were evaluated, 54.9% were female, and 8.17% had ATR ≥ 6°. We found mild scoliosis in 2.91%, moderate in 0.75% and severe in 0.17%. Total prevalence was 3.83% (CI 95%: 2.74-4.92). 82.61% of the cases had a late diagnosis, after their growth spurt. Of the patients with scoliosis, 21.74% had a progression risk ≥ 50%. Quality of life had a positive correlation with scoliosis severity, not statistically significant. Conclusions. Prevalence of AIS was 3.83%. Most patients were diagnosed after their growth spurt with high progression risk. Quality of life showed a weak positive correlation with scoliosis severity.

Translated title of the contributionPrevalence, risk of progression and quality of life assessment in adolescents undergoing school screening for adolescent idopathic scoliosis
Original languageSpanish
Pages (from-to)78-85
Number of pages8
JournalAndes Pediatrica
Volume94
Issue number1
DOIs
StatePublished - 1 Jan 2023

Bibliographical note

Publisher Copyright:
© 2023, Sociedad Chilena de Pediatria. All rights reserved.

Keywords

  • Adam’s Test
  • Cobb Angle
  • Idiopathic Scoliosis
  • Quality of Life
  • Scoliosis
  • Vertebral Column

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