Epidemiology of congenital scoliosis in Luohe

Objective To investigate the prevalence of congenital scoliosis in school children from 3 to 10 years in 36 schools in Luohe. Methods In a cross-sectional study, 15000 students were randomly selected from a total of 84325 students distributed in 36 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. In suspected cases; students were referred to panoramic radiographs of the spine. Results 14326 students participated in the study. Of this total, the response rate is 95.51%. 236 students were suspected of scoliosis. 233 student underwent full-spine radiographs examinations, and 38 patients underwent MRI and CT examination, of which 29 were diagnosed with congenital scoliosis (21 female and 8 male), The prevalence of congenital scoliosis was 2, female prevalence rate was 2.9‰, the prevalence rate of male was 1.1‰ (P<0.05). Congenital scoliosis is mainly concentrated in the age of 3-4(58.62%). Types of malformations: hemivertebra malformation in 15 cases, unilateral bridge bone deformity in 9 cases, one side of bone bridge with side multi segmental hemivertebra deformity in 4 cases, lumbar 1-4 vertebral segment not complete in 1 case, malformation type mainly is hemivertebra (51.72%). Malformation position: 5 cases were located in the thoracic 1-8, 21 cases located in the thoracic 9 to lumbar 2, 3 cases located in the lumbar 3-5, malformations mainly located in the Thoracolumbar border area (72.41%). Scoliosis Cobb angle: 10-19 in 16 cases, 20-39 in 8 cases, 5 cases of Cobb angle is greater than 40. Awareness rate of congenital scoliosis is 31.03%. The treatment rate is 6.90%. Conclusions The prevalence of congenital scoliosis in the public schools of Luohe is 2% which is higher than the national average level (0.1%) reported, female is significantly higher than that of male, malformation type mainly is hemivertebra, malformations Mainly locate in the thoracolumbar border area. the awareness rate and treatment rate of congenital scoliosis are low, and the correct treatment of the congenital scoliosis is not optimistic.