Advertisement

Back Contour Asymmetry in Schoolchildren: Its Significance for the Early Detection of Idiopathic Scoliosis

  • R. G. Burwell
  • N. J. James
  • F. Johnson
  • J. K. Webb
  • Y. G. Wilson
Chapter

Abstract

The management of children with idiopathic scoliosis seems to be entering a new era — when early diagnosis by the health care team will prevent the need for most surgical operations. The Swedish experience reported by Professor Nachemson and his colleagues in Gothenburg shows that early diagnosis and brace treatment of juveniles and adolescents with idiopathic scoliosis has the following effects:
  • The spinal curves are less severe when diagnosed.

  • Fewer spinal curves progress to 40 degrees.

  • Less surgical operations are performed.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Burwell, R.G., Dangerfield, P.H., Hall, D.J., Vernon, C.L. and Harrison, M.H.M., 1978, Perthes’ disease: an anthropometric study revealing impaired and disproportionate growth, J. Bone and Joint Surgery, 60B: 461–477.Google Scholar
  2. Burwell, R.G., Vernon, C.L. and Dangerfield, P.H., 1980, Chapter 38, Skeletal Measurement, in: Scientific Foundations of Orthopaedics and the Surgery of Trauma, R. Owen, J.W. Goodfellow and P.G. Bullough, eds., William Heinemann, London.Google Scholar
  3. Burwell, R.G., James, N.J., Johnson, F., Webb, J.K. and Wilson, Y.G., 1983a, Standardized trunk asymmetry scores. A study of back contour in healthy schoolchildren, J. Bone and Joint Surgery, in press.Google Scholar
  4. Burwell, R.G., Dangerfield, P.H,, James, N.J., Webb, J.K. and Wilson, Y.G., 1983b, Anthropometric studies of normal and scoliotic children. Axial and appendicular skeletal asymmetry, sexual dimporphism and age-related changes, in: International Conference on the Pathogenesis of Idiopathic Scoliosis, sponsored by the Scoliosis Research Society and American Academy of Orthopaedic Surgeons, Denver, USA, Sept. 22, In press.Google Scholar
  5. Davis, P.R., 1959, The medial inclination of the human thoracic intervertebral articular facets, J. of Anatomy (London), 93: 68–74.Google Scholar
  6. Dickson, R.A., Stamper, P., Sharp, A.M. and Harker, P., 1980, School screening for scoliosis: cohort study of clinical course, Brit. Med. J., 11: 265–267.CrossRefGoogle Scholar
  7. Dickson, R.A., 1983, Scoliosis in the community, Brit. Med. J., 1: 615–618.CrossRefGoogle Scholar
  8. Editorial, 1981, School screening for scoliosis, Lancet, 11: 345–346.Google Scholar
  9. Editorial, 1982, School screening for scoliosis, J. Bone and Joint Surgery, 64A: 479–480.Google Scholar
  10. Gregersen, G.G. and Lucas, D.B., 1967, An in vivo study of the axial rotation of the human thoracolumbar spine, J. Bone and Joint Surgery, 49A: 247–262.Google Scholar
  11. James, J.I.P., 1976, Scoliosis, Churchill Livingstone, London.Google Scholar
  12. Kane, W.J., 1977, Scoliosis prevalence: a call for statement of terms, Clin. Orthop. Related Res., 126: 43–46.Google Scholar
  13. Leaver, J.M., Alvik, A. and Warren, M.D., 1982, Prescriptive screening for adolescent idiopathic scoliosis: a review of the evidence, Intern. J. Epid., 11: 101–111.CrossRefGoogle Scholar
  14. Lonstein, J.E., 1977, Screening for spinal deformities in Minnesota schools, Clin. Orthop. Related Res., 126: 33–42.Google Scholar
  15. Perdriollé, R., 1979, La Scoliose, son Etude Tridimensionnelle, Maloine S.A., Paris.Google Scholar
  16. Scoliosis Research Society, 1979, Report of Research Coordinating Committee, Basic Research, 1–2.Google Scholar
  17. Symposium, 1980, Scoliosis, 1979, P.A. Zorab and D. Siegler, eds., Academic Press, London.Google Scholar
  18. Takemitsu, Y., 1981, Scoliosis: screening methods and the subsequent management, J. Japanese Orthop. Ass., 55: 243–257, (in Japanese).Google Scholar
  19. Tanner, J.M., Hiernaux, J. and Jarman, S., 1969, Growth and physique studies, pp. 3–42, in: IBP Handbook 9, Human Biology; A guide to field methods, compiled by J.S. Weiner and J.A. Laurie, Blackwell, Oxford.Google Scholar
  20. Tore 11,G., Nordwall, A. and Nachemson, A., 1981, The changing pattern of scoliosis treatment due to effective screening, J. Bone and Joint Surgery, 63A: 337–341.Google Scholar
  21. Weidenbaum, M. and Riseborough, E., 1981, The effect of school screening on the diagnosis and treatment of scoliosis, in: Proceedings of the Scoliosis Research Society 16th Annual Meeting, Montreal, September, 16–18.Google Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • R. G. Burwell
    • 1
  • N. J. James
    • 1
  • F. Johnson
    • 1
  • J. K. Webb
    • 2
  • Y. G. Wilson
    • 1
  1. 1.Departments of Human Morphology and SurgeryUniversity of NottinghamEngland
  2. 2.Scoliosis ClinicHarlow Wood Orthopaedic HospitalMansfieldEngland

Personalised recommendations