[Screening for adolescent idiopathic scoliosis: is current knowledge sufficient to support its use?].
OBJECTIVE
The aim of this study was to re-examine the basis of screening for adolescent idiopathic scoliosis.


METHODS
Retrospective analysis of scoliosis screening of patients with a positive test was performed. The screening was performed in children between 10 and 15 years by visual inspection of the back and the Adams forward-bending test.


RESULTS
In 31.6% of the children, the screening test detected the presence of abnormal findings on initial physical examination. 19% of the total population was sent to a traumatology service. In 11% the diagnosis was confirmed (16 scoliosis, 12 of them idiopathic and 4 due to other conditions), PPV: 58%. In 8% of the adolescents exercise was recommended. In 1.2% braces were recommended. There were no differences in prevalence between sex, but the height of the children with scoliosis was greater (p < 0.001).


CONCLUSIONS
Because of the potential severe adverse effects and because the studies of the efficacy of the screening are not reliable, the U.S. Preventive Services Task Force, Canadian Task Force and the Program de Actividades Preventivas y Promoción de la Salud have excluded the routine screening of the asymptomatic adolescent for idiopathic scoliosis.
Redondo Granado
M J
MJ
MIR de Medicina de Familia, C.S. Rondilla I.
Arnillas Gómez
P
P
Fernández Alonso
C
C
D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D015995:Prevalence; D012189:Retrospective Studies; D012600:Scoliosis / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control