ميزان شيوع اسكوليوز در دانش آموزان 14-11 ساله مدارس راهنمايي اروميه

Prevalence of Scoliosis in 11-14 Years Old Students of Urumieh Mid - schools

Background and Objectives: Idiopathic scoliosis is sometimes progressive and probably genetically based disease in which adolescentʹs spine develops deformity and in advanced cases may produce restrictive pulmonary disease, heart failure and psychological problems. Because of its position , which is hidden in the back , diagnosis is usually delayed. Screening the school children is the best way for early diagnosis. Materials and Methods: In this study we used inspection and Adams Forward bending test for screening. All of Urumieh midschool students, aged 11-14 years old, were examined and suspicious cases were referred to orthopedic clinic for further examination by radiography. Scoliosis was defined as curves more than 10° in AP standing thoracolumber X rays. Results: A total of 38,988 students were examined. Out of them, 140 were selected for radiological studies. Finally 103 cases were diagnosed as scoliosis and these included 97 idiopathic, 2 congenital , 3 polio patients and one case of cp scoliosis. Prevalence of idiopathic scoliosis was calculated as 0.24%. When the estimated missed cases were added to these amounts prevalence rate equalled to 0.3% which is lesser -than that reported in literature. Only in one study which is from Johansburg, prevalence of idiopathic scoliosis was found similar to ours. Conclusion: Prevalence of idiopathic scoliosis in 11-14 years old children has been found as 3 in 1000. It is less than that is being reported in similar studies from other countries.