Koga Y
Nihon Seikeigeka Gakkai Zasshi. 1986 Jan;60(1):61-71.
Since 1978 school screening of scoliosis has been performed every year by the system established by the author consisting of 4 step examinations in Niigata City. The initial examination is carried out with forward bending test associated with swing maneuver by school nurses or school doctors in all school boys and girls from the 4th grade of elementary school to the 3rd grade of junior-high school. The incidence of scoliosis with deformity of more than 20 degrees has been nearly constant ranging from 0.06% to 0.09% in elementary school, and 0.35% to 0.40% in junior-high school. The author compared the number and treatment of the patients of Niigata City seen in our scoliosis clinic in the period of 7 years before and after starting this program. After this program started, the number of the patients with scoliosis of more than 20 degrees has increased by 4 times. The number of surgery in adolescent idiopathic scoliosis, on the contrary, has markedly decreased.
自1978年起，新潟市每年都按照作者建立的系统对脊柱侧弯进行筛查，该系统由4个步骤的检查组成。初步检查由学校护士或校医对小学四年级至初中三年级的所有在校男生和女生进行，采用前屈试验并结合摆动动作。脊柱侧弯畸形超过20度的发病率几乎保持恒定，在小学为0.06%至0.09%，在初中为0.35%至0.40%。作者比较了启动该项目前后7年期间，在我们脊柱侧弯诊所就诊的新潟市患者数量及治疗情况。该项目启动后，脊柱侧弯超过20度的患者数量增加了4倍。相反，青少年特发性脊柱侧弯的手术数量显著减少。
