School scoliosis screening by Moire topography - Overview for 33 years in Miyazaki Japan

被引：15

作者：

Kuroki, Hiroshi ^{[1
,2
]}

Nagai, Takuya ^{[2
]}

Chosa, Etsuo ^{[2
]}

Tajima, Naoya ^{[3
]}

机构：

[1] Natl Hosp Org Miyazaki Higashi Hosp, Dept Orthopaed Surg, 4374-1 Tayoshi Ooaza, Miyazaki 8800911, Japan

[2] Univ Miyazaki, Dept Orthopaed Surg, Fac Med, Miyazaki, Japan

[3] Nozaki Higashi Hosp, Dept Orthopaed Surg, Miyazaki, Japan

来源：

JOURNAL OF ORTHOPAEDIC SCIENCE | 2018年 / 23卷 / 04期

关键词：

IDIOPATHIC SCOLIOSIS; CURVE;

D O I：

10.1016/j.jos.2018.03.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Background: Since 1981, we have performed school scoliosis screening (SSS) using Moire topography in Miyazaki, Japan and attained a certain result in detecting scoliosis. However, this screening system was discontinued due to cessation of repair and production of Moire topographic equipment. The purpose of this study was to make clear both the results and the problems of SSS by Moire topography on the basis of our past 33 years' experiences. Methods: The subjects were 689,293 students (5th grade boys in 200,329, 5th grade girls in 191,919, 8th grade boys in 151,351, and 8th grade girls in 145,694) who were screened by Moire topography between 1981 and 2013. The number of students received SSS, the positive rate of Moire topography, the discovery rate of scoliosis greater than 20 degrees, the reference rate to the second screening, and the positive predictive value of Moire topography to detect scoliosis greater than 20 degrees were investigated. Results: The number of students received SSS achieved a peak in 1992. The positive rate of Moire topography and the discovery rate of scoliosis were highest in 8th grade girls. The reference rates to the second screening were 49.8% in 5th grade students and 41.4% in 8th grade students. The positive predictive values were 2.1% in 5th grade students and 7.6% in 8th grade students. Conclusion: SSS by Moire topography seemed to be effective in detecting scoliosis although both the positive predictive value and the reference rate to the second screening were low. (C) 2018 Published by Elsevier B.V. on behalf of The Japanese Orthopaedic Association.

引用

页码：609 / 613

页数：5

共 23 条

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Scoliosis detection, patient characteristics, referral patterns and treatment in the absence of a screening program in Norway [J].