Prevalence of Scoliosis among School going Children in Puducherry

ABSTRACT

Introduction: Scoliosis refers to the lateral curvature of the spine, which is progressive leading to morphological changes affecting quality of life, postural disability, even causing respiratory distress. Hence, screening the prevalence of scoliosis is much needed at a very early stage among school going children, thereby preventing permanent damage and spinal disorders that worsens. Aim: This study was undertaken to identify the prevalence of scoliosis among school going children in Puducherry thereby adequate adequate knowledge shall be provided to them to make them aware of the clinical condition,change their perception about the disease and motivate them to take necessary steps to overcome scoliosis at an earlier phase. Materials and Methods: A total of 1164 children (724 boys, 440 girls) aged from 6-17 years, were recruited for the study (since COVID-19 phase, most of the educational institutions were conducting only online sessions). The screening procedure included Adam's test(forward bending test) and scoliometer measurements, if >70 referred for poster anterior radiograph of the trunk, where Cobb angle is measured ,and if found to be >200 were identified to have scoliosis. The objectives were fully informed to the parents and the students and respondents were allowed to participate voluntarily. The data obtained were analyzed statistically. Results: A total of 60 students were found positive on forward bending test and scoliometer measurements >7°, among which 22 were confirmed with scoliosis on standing radiographs., 16 (73%) girls and 6 (27%) boys. Thirty-eight of which 23 (60%) girls and 15 (40%) boys had normal spine curvatures on X- ray examination (false positive). Conclusion: A total of 60 students were suffering from scoliosis, who needs further attention and the same have been informed to the concerned parents.