Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Idiopathic Scoliosis in the Eleven Years Old - Prevalence Study -

11세 청소년에서의 특발성 척추 측만증의 유병률

Park, Moon-Soo;Lee, Choon-Sung;Kim, Yung-Tae;Ko, Sang-Hun;Eo, Jin;Cho, Sung-Do
박문수;이춘성;김영태;고상훈;어진;조성도

  • Published : 20060000
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Abstract

Purpose : To evaluate the epidemiological findings of idiopathic scoliosis in eleven years olds. Materials and Methods : A total of 18,521 adolescents who were eleven years old were screened for scoliosis. There were 10,204 boys and 8,317 girls. The adolescents who had an abnormal moire topography were assessed subsequently using standardized clinical and radiological examinations. The scoliotic curve was defined as a curve of 10 or more. Results : The prevalence of scoliosis was 0.31 per cent (57 of 18,521 adolescents), and most of the curves (42; prevalence, 0.23 per cent) were small (10 to 19 degrees). The ratio of boys to girls was 1:4.7 overall. Thoracolumbar curves were the most common type of curve identified, followed by thoracic and lumbar curves. Conclusion : The prevalence of idiopathic scoliosis in eleven year olds was 0.31 per cent. The size and pattern of idiopathic scoliosis were similar with those in the adolescents twelve years and older reported in the literature.

목 적: 11세 청소년을 대상으로 특발성 척추 측만증 검진을 실시하여 유병률, 만곡의 크기, 유형 등을 분석 고찰하였다. 대상 및 방법: 11세 청소년 총 18,521명(남자 10,204명, 여자 8,317명)을 대상으로 하였다. 1단계는 모아레 검진법(moire topography)을 실시하여 척추의 굴곡의 변화가 있는 유소견자를 확인하였다. 2단계는 방사선 검사로서 모아레 검진법에서 양성으로 판정된 학생을 대상으로 기립위 척추 전장 전후방 단순 방사선 사진을 촬영하였다. 단순 방사선 사진에서 만곡의 크기, 방향, 유형 등을 관찰하였으며 콥스 각도(Cobb's angle)가 10도 이상인 경우를 특발성 척추 측만증으로 판정하였다. 결 과: 특발성 척추 측만증으로 판정된 청소년은 57명으로 유병률은 0.31%였다. 남녀의 유병률의 비율은 1： 4.7이었으며 만곡의 크기는 10-19o 사이가 42명(0.23%)으로 가장 흔하였다. 만곡의 위치는 흉요추부, 흉추부, 요추부 만곡의 순서로 감소하였다. 결 론: 11세 청소년에서 특발성 척추 측만증의 유병률은 0.31%이며 12세 이상의 청소년에서의 척추 측만증에 대한 기존 보고와 비교 시 만곡의 크기, 유형은 유사하였다.

Keywords

References

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