Selective screening for scoliosis.

Abstract:

:Scoliosis screening has been practiced for nearly 50 years and has provided valuable knowledge about the prevalence and natural history of scoliosis. Early diagnosis allows for nonoperative treatment, like wearing an orthosis that has been shown to be effective by numerous outcome studies. Challenges in scoliosis screening include the low prevalence rate of clinically significant scoliosis, the inverse relationship of sensitivity and specificity in the screening process because of the poor correlation of clinical deformity and radiographic abnormality, and the inflated cost of these programs because of overreferral. Recommendations for improvement include redefinition of what actually constitutes a "significant" scoliosis for screening, diagnostic, and outcome purposes; selective screening of only immature females; the use of objective referral criteria; and re-screening patients rather than referring those who have borderline cases.

journal_name

Clin Orthop Relat Res

authors

Bunnell WP

doi

10.1097/01.blo.0000163242.92733.66

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

40-5

issue

434

eissn

0009-921X

issn

1528-1132

pii

00003086-200505000-00007

pub_type

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