Epidemiologia da escoliose idiopática do adolescente em alunos da rede pública de Goiânia-GO

Abstract

OBJECTIVE: To investigate the prevalence of adolescent idiopathic scoliosis in school children from 10 to 14 years in public schools in Goiânia, GO, Brazil. METHODS: In a cross-sectional study, 476 students were randomly selected from 5 public schools, from a total of 33,343 students distributed in 162 schools. These subjects received the informed consent prior, which was returned after being signed by parents on physical examination day. We evaluated the symmetry of the shoulders, the scapulae, the triangle-cut, the hip evenness and the Adams test. In suspected cases, students were referred to panoramic radiographs of the spine. RESULTS: 418 students participated in the study (adjusted sampling error of 3.2%). Of this total, 31 students were suspected of scoliosis (17 males and 14 females). Twenty-eight students took radiographs, of which 18 were diagnosed with adolescent idiopathic scoliosis (11 female and 7 male), determining the prevalence of 4.3%. The chi-square test suggested no statistical difference in prevalence between the sexes. One student had congenital scoliosis. CONCLUSION: The prevalence of adolescent idiopathic scoliosis in the public schools of Goiânia is 4.3%. Level of Evidence III, Study of Nonconsecutive Patients.

Prevalência De Escoliose Em Escolares Do Ensino Fundamental Público

“…Second Braccialli and Vilarta, 1 the period of pubertal growth spurt is associated with the development and acceleration of postural deviations. However, what has occurred in the present study was a higher prevalence in the age groups from 6 to 10 years, than in assessments of adolescents, 8 , 13 , 17 suggesting that other factors may be involved. In this context, this study has limitations because it does not include several factors that may be associated with postural deviations, such as the adequacy of the sofa or chair used for study or for leisure, the weight of the backpack with school supplies, and the period in which it is charged 8 …”

Community Care Administration of Spinal Deformities in the Brazilian Public Health System

“…The prevalence of deformity etiologies in the studied group diverged from that of the general population 16 . Idiopathic scoliosis is the most prevalent pediatric deformity, affecting 2.2% to 4.3% of schoolchildren in Brazil 17 , 18 . According to the Scoliosis Research Society (SRS), idiopathic scoliosis represented 58% of the 19,360 patients who underwent surgical correction between 2004 and 2007, followed by neuromuscular (24%) and congenital deformities (10%) 16 .…”

Programa De Reabilitação Em Grupo Na Escoliose Idiopática: Estudo De Caso

“…A escoliose é um desvio postural, caracterizado por uma deformidade tridimensional, alterando a coluna vertebral por meio da lordose no plano sagital, um desvio lateral no plano frontal e uma rotação no plano transversal 1,2 . Ela progride durante a fase de crescimento, e possui múltiplas etiologias, compreendendo fatores nutricionais, hormonais, posturais, genéticos, entre outros, sendo significante se seu ângulo de Cobb medir mais de 10 graus 1,3 . Geralmente, é aceito que curvas até 25° Cobb são classificadas como curvas suaves, enquanto curvas moderadas são aquelas que medem entre 25° a 45° Cobb e curvas graves aquelas com mais de 45° de ângulo de Cobb.…”