[Systematic Long-term Screening of Scolioses.].
The authors implemented in a defined region for a period of 14 years screening of scolioses in children, primary screening using Adams' test and secondary screening using a scoliometer. They selected as criterion for detection 5 degrees of asymmetry of the back, corresponding to 17 degrees according to Cobb on X-ray pictures. In three growth stages a total of 603 children with scoliosis were detected, incl. 382 girls and 221 boys. The detection rate was highest in the adolescent period (71 %), the majority of detected scolioses (77 %) were idiopathic. On examination with a scoliometer comparable results were achieved with the technique moiré (false positivity 5.2 %). Deformities of the spine were detected at a level (mainly grade Ib), where follow up and further treatment can be effective. Screening which was implemented involved small costs per child. A positive outcome of the screening was a reduced incidence of severe scolioses and this reduced among others the expenditure on treatment by orthesis of the trunk or surgery. Key words: scoliosis, screening, mechanical scoliometer.
Blaha
J
J
Ortopedická klinika FN, Hradec Králové
Ettlerová
E
E