Department of Ophthalmology, Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Nantong Center for Disease Control and Prevention in Jiangsu Province, Jiangsu Province, China.
PLoS One. 2024 May 13;19(5):e0303324. doi: 10.1371/journal.pone.0303324. eCollection 2024.
Scoliosis is one of the most common surgical disorders of the pediatric spine. Refractive errors are commonly associated with vision impairment worldwide. However, it is currently unclear whether refractive error correlates directly with the development of scoliosis.
A cross-sectional study was performed in 2023, and a stratified cluster sampling technique was employed among school-aged students in Nantong City, China. Univariate and multivariate logistic regression analyses were used to investigate specific correlations between scoliosis and related parameters; various types of refractive errors were also included in the study.
The prevalence of scoliosis among school-aged students was 2.2% in Nantong city. Multiple logistic regression analyses showed that myopia, hyperopia, astigmatism, and anisometropia were not correlated with the development of scoliosis (all, p≥0.05). Lower body mass index (BMI) [adjusted odds ratio (aOR) = 0.92; 95% confidence interval (CI): 0.88-0.95; p<0.001], living in rural areas (aOR = 1.40; 95% CI: 1.05-1.86; p = 0.020), and older age (aOR = 1.32; 95% CI: 1.25-1.38; p<0.001) had significantly higher risks of scoliosis.
Refractive errors did not correlate with the development of scoliosis. However, BMI, living in rural areas and older age did correlate with the development of scoliosis.
脊柱侧凸是儿童脊柱最常见的外科疾病之一。屈光不正与全球视力损害密切相关。然而，目前尚不清楚屈光不正是否与脊柱侧凸的发展直接相关。
2023 年进行了一项横断面研究，采用分层整群抽样技术对中国南通市学龄儿童进行研究。采用单因素和多因素逻辑回归分析探讨脊柱侧凸与相关参数之间的特定相关性；研究还包括各种类型的屈光不正。
在南通市，学龄儿童脊柱侧凸的患病率为 2.2%。多因素逻辑回归分析显示，近视、远视、散光和屈光参差与脊柱侧凸的发展无关（均，p≥0.05）。较低的体重指数（BMI）[调整后的优势比（aOR）=0.92；95%置信区间（CI）：0.88-0.95；p<0.001]、居住在农村地区（aOR=1.40；95%CI：1.05-1.86；p=0.020）和年龄较大（aOR=1.32；95%CI：1.25-1.38；p<0.001）的儿童发生脊柱侧凸的风险显著更高。
屈光不正与脊柱侧凸的发展无关。然而，BMI、居住在农村地区和年龄较大与脊柱侧凸的发展有关。
