Lonstein J E, Bjorklund S, Wanninger M H, Nelson R P
J Bone Joint Surg Am. 1982 Apr;64(4):481-8.
School screening for scoliosis is a well accepted technique for the early detection of spinal deformities. We reviewed the experience in Minnesota over the past eight years, with an average of one-quarter of a million children being screened yearly. Of the children screened, 3.4 per cent were referred for evaluation and scoliosis was found in 1.2 per cent. The number of children requiring operations for adolescent idiopathic scoliosis has diminished since 1970. The average curve for which a surgical procedure was done has also diminished from 60 to 42 degrees. The cost of the program is low, averaging 6.6 cents per student screened. This compares with a so-called time cost averaging thirty-five cents. Voluntary scoliosis screening in Minnesota is an efficient and cost-effective program.
学校脊柱侧弯筛查是一种广泛认可的早期发现脊柱畸形的技术。我们回顾了明尼苏达州过去八年的经验,每年平均有25万儿童接受筛查。在接受筛查的儿童中,3.4%被转诊进行评估,其中1.2%被发现患有脊柱侧弯。自1970年以来,因青少年特发性脊柱侧弯需要手术的儿童数量有所减少。进行手术的平均侧弯度数也从60度降至42度。该项目成本较低,平均每位接受筛查的学生为6.6美分。相比之下,所谓的时间成本平均为35美分。明尼苏达州的自愿脊柱侧弯筛查是一个高效且具有成本效益的项目。