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 contribution||Prevalence, risk of progression and quality of life assessment in adolescents undergoing school screening for adolescent idopathic scoliosis|
|Number of pages||8|
|State||Published - 1 Jan 2023|
Bibliographical noteFunding Information:
Un agradecimiento especial al Gobierno de Chile por el apoyo financiero brindado a través de su programa “FONIS” (Fondo Nacional en Investigación y Desa-rrollo en Salud), a la Universidad de los Andes, y a la escuela de Kinesiología, sus estudiantes de pregrado, a los médicos que nos brindaron su guía y participa-ron del estudio, y a nuestras queridas familias que nos brindaron el apoyo que hicieron posible esta investi-gación. Proyecto FONIS SA15I520398.
© 2023, Sociedad Chilena de Pediatria. All rights reserved.
- Adam’s Test
- Cobb Angle
- Idiopathic Scoliosis
- Quality of Life
- Vertebral Column