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© 1984 Oxford University Press

research-article

Adolescent Idiopathic Scoliosis: Epidemiology and Treatment Outcome in a Large Cohort of Children Six Years after Screening

YVONNE ROBITAILLE*, CECILIA VILLAVICENCIO-PEREDA* and JEAN GURR{dagger}

*Department of Community Health Montreal General Hospital 1597 Pine Avenue West, Montreal, Canada H3G 1B3.
{dagger}Shriner's Hospital, Montreal, Canada

A prospective study was carried out in a cohort of 6873 children to determine diagnosis and treatment rates for adolescent idiopathic scoliosis (AIS) and to establish the distribution of parameters related to bracing. The follow-up completion rate was 85%, and prevalence rates were adjusted accordingly.

The prevalence of AIS of 6° or more at time of diagnosis was 8.1%. The female to male ratio for curves of 6° or more was 1.07:1 with an increase to 6:1 for curves greater than 21°. The rate of brace treatment was 2.8 per 1000. Deterioration, defined as progression of a scoliosis curve to the point where a brace was prescribed, was found in 3.7% of the scoliosis group. Fifteen children were prescribed braces: eight did not follow the treatment plan adequately (non-compliers), and five among these abandoned the follow-up programme. However, none of the non-compliers deteriorated to the point where spinal fusion was required.

Received 1 December 1983


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