[Scoliosis: ten years' experience of screening]. 1991

G L Benetti, and F Podestà
U.O. Pediatria, U.S.L. n. 15 Volterra PI, Italia.

Scoliosis is a permanent lateral deflection of backbone, associated to a vertebra's rotation and twisting on their vertical axle, and it is one of more common diseases of pediatric age. It exist a great difference between the structural conformations, that are true pathologies, and the functional ones or paramorphisms, without bony alterations. Since about 80% of real scoliosis is idiopathic. The pediatrician's task is of precociously identify the appearance of a scoliotic bend and differentiate the structural and evolutive shapes from simple scoliotic posture. Therefore for ten years, in the preventive medicine programme of school age, we affected a scoliosis research in the secondary school using as clinical method the "bending test" that appraises three essential parameters: size's triangle, gibbus and limbs' asymmetry. Before examination an anamnestic form is compiled and the sexual maturity's degree is appraised. The subjects with suspect of scoliosis are asked to a subsequential control performed in our department's ambulatory service by a doctor of Scoliosis's Center of Pozzolatico (Florence), in order to decide whether to take radiographs and to define, if necessary, treatment. We verified 4453 pupils and of these the 8.9% has been asked to the specialist's control. Of these 106, namely the 2.8% of total pattern, have been X-rayed and 46, namely the 0.9% of total pattern, have been orthopaedically treated because affected by evolutive scoliosis. If we consider the last quinquennium's statistics, we remark that treatment's incidence is lower to 0.4% conforming to literature's data. We never observed false negatives whereas false positive have been only 0.8% of total pattern.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D010808 Physical Examination Systematic and thorough inspection of the patient for physical signs of disease or abnormality. Physical Exam,Examination, Physical,Physical Examinations and Diagnoses,Exam, Physical,Examinations, Physical,Exams, Physical,Physical Examinations,Physical Exams
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012600 Scoliosis An appreciable lateral deviation in the normally straight vertical line of the spine. (Dorland, 27th ed) Scolioses

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