PMID: 8453227Jan 1, 1993Paper

Trunk asymmetry and screening for scoliosis: a longitudinal cohort study of pubertal schoolchildren

Acta Paediatrica
M J NissinenM S Poussa

Abstract

A cohort of children was followed-up annually from an average age of 10.8-13.8 years to assess various measures of trunk asymmetry for their predictive value in the screening of scoliosis. Of 1060 children, 855 (80.7%) participated in the final examination. Trunk asymmetry was measured by the forward bending test and moiré topography. A posteroanterior standing radiograph of the spine was taken of those 250 (29.2%) children who had a trunk hump > or = 8 mm. Only 8.3% of the children were found to be symmetric (hump 0-2 mm) in the forward bending test: 65.5% had a hump of 3-7 mm and 26.2% had a hump > or = 8 mm at 13.8 years. Also, moiré fringe asymmetry proved to be common (prevalence of asymmetry > 1 fringe 47.3%), but its correlations with rib hump (r = 0.16) and Cobb angle (r = 0.12) were low. At the final examination, the prevalence of scoliosis (Cobb angle > or = 10 degrees) was 9.2%. Two girls (0.2%) needed brace treatment. The forward bending test is preferable to moiré topography in screening for scoliosis, and a hump size of 6 mm at an average age of 10.8 years is the nearest to optimal as a screening threshold.

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Citations

Oct 1, 2011·Pediatric Surgery International·Saara J SistonenRisto J Rintala
Apr 22, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mikko S PoussaMaunu J Nissinen
Mar 25, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mikko S PoussaMaunu J Nissinen
Jan 13, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jari PeltonenIlkka Helenius
Sep 1, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mikko S PoussaMaunu J Nissinen
Jan 29, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Seung-Woo SuhJae-Young Hong
Jan 26, 2007·Nature Clinical Practice. Nephrology·Ilkka HeleniusJari Peltonen
Mar 1, 1995·Acta Paediatrica·M Nissinen
Jun 9, 2006·Scoliosis·Marc A Asher, Douglas C Burton
Jan 29, 2013·Scoliosis·Brandon B CarlsonMarc A Asher
Dec 24, 2013·The Spine Journal : Official Journal of the North American Spine Society·Amin KomeiliSamer Adeeb
Jan 1, 1996·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J E PruijsJ C van Wieringen
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Jan 7, 2003·Acta Odontologica Scandinavica·Outi KoveroMauno Könönen
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Oct 2, 2008·Neurosurgery·James S HarropChristopher I Shaffrey
Jun 16, 2017·Journal of Anatomy·Adrian GardnerPaul Pynsent
Feb 13, 2018·Scoliosis and Spinal Disorders·Stefano NegriniFabio Zaina
May 17, 2017·Journal of Pediatric Orthopedics. Part B·Julio UrrutiaFrancisco Bengoa
Mar 27, 2018·Journal of Back and Musculoskeletal Rehabilitation·Sepehr MoalejGhazal Shariatpanahi
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May 3, 2005·Clinical Orthopaedics and Related Research·William P Bunnell
Sep 25, 2008·Neurosurgery·Hideyuki KanoL Dade Lunsford

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