Morais T, Bernier M, Turcotte F
Am J Public Health. 1985 Dec;75(12):1377-80. doi: 10.2105/ajph.75.12.1377.
A prevalence study of idiopathic scoliosis was conducted among 29,195 children of a community health district in the province of Quebec. The study was designed to determine whether a permanent screening program for idiopathic scoliosis was justified. The prevalence of the condition among school children aged 8 to 15 years was 42.0 per 1,000 in the screened population, 51.9 per 1,000 among girls, and 32.0 per 1,000 among boys. The positive predictive value of the bending test is estimated as 42.8 per cent for scolioses of 5 degrees or more; it is only 6.4 per cent when curves of 15 degrees or more are considered. The average cost of finding one child with a scoliosis of 5 degrees or more is $194. Mass screening for idiopathic scoliosis does not seem to be justified in the present state of knowledge of the disease.
在魁北克省一个社区卫生区的29195名儿童中开展了一项特发性脊柱侧凸患病率研究。该研究旨在确定针对特发性脊柱侧凸的永久性筛查项目是否合理。在筛查人群中，8至15岁学龄儿童的该病患病率为每1000人中有42.0例，女孩中为每1000人中有51.9例，男孩中为每1000人中有32.0例。对于5度或以上的脊柱侧凸，侧弯试验的阳性预测值估计为42.8%；当考虑15度或以上的曲线时，该值仅为6.4%。发现一名5度或以上脊柱侧凸儿童的平均成本为194美元。就目前对该疾病的了解情况而言，对特发性脊柱侧凸进行大规模筛查似乎并不合理。
