Abstract
This report is the SOSORT Consensus Paper on School Screening for Scoliosis discussed at the 4th International Conference on Conservative Management of Spinal Deformities, presented by SOSORT, on May 2007. The objectives were numerous, 1) the inclusion of the existing information on the issue, 2) the analysis and discussion of the responses by the meeting attendees to the twenty six questions of the questionnaire, 3) the impact of screening on frequency of surgical treatment and of its discontinuation, 4) the reasons why these programs must be continued, 5) the evolving aim of School Screening for Scoliosis and 6) recommendations for improvement of the procedure.
Highlights
Detection of idiopathic scoliosis has been a major and growing commitment of orthopaedists since the early 1960s
A point that could be raised with the title is the conformation with a 'consensus.' in this paper there is no unanimous consensus, but we found, as it will be shown in the pages, that there are different habits, and experiences, and we do not close with statements that define which consensus we have
It is interesting to quote the various comments accompanying the answer to this question like: 'Parents are usually angry when they discover that their child could be diagnosed earlier, before visiting the health provider
Summary
Detection of idiopathic scoliosis has been a major and growing commitment of orthopaedists since the early 1960s. The state of Minnesota pioneered spinal screening in the United States by implementing in 1973 a centrally-directed, statewide but voluntary program, based on clinical examination [184]. Some states have ratios of one school nurse for every 700 students, while others have 2000/1 ratios and use health aides and volunteer parents to perform scoliosis screening. In the USA there is a lack of national standards and adequate reports for scoliosis screening mechanisms, making collection of evidence-based outcomes necessary to either enhance this process or eliminate it, extremely difficult. Japan is the nation with a federally mandated screening program, mostly accomplished with surface topography using the moiré technique and low-dose roentgenographic techniques [275]. In Japan, school-screening program for scoliosis is mandatory by law. With respect to the Tokyo area, the committees which use moiré surface topography are less than half [334].
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