New opportunities in scoliosis screening
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KUSTUROVA, Anna. New opportunities in scoliosis screening. In: International Conference of Young Researchers , Ed. 8, 11-12 noiembrie 2010, Chişinău. Chişinău: Tipogr. Simbol-NP SRL, 2010, Ediția 8, p. 24. ISBN 978-9975-9898-4-8..
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International Conference of Young Researchers
Ediția 8, 2010
Conferința "International Conference of Young Researchers "
8, Chişinău, Moldova, 11-12 noiembrie 2010

New opportunities in scoliosis screening


Pag. 24-24

Kusturova Anna
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 14 aprilie 2021


Rezumat

Spinal deformity, especially scoliosis remains a problem for orthopedists in most countries. Scoliosis is widespread in children and teenagers, and ranges from 1,3-3 to 27,6% [1, 4, 5]. To solve this problem, many countries develop the scoliosis screening programs targeted on the children and teenagers [2, 3]. A large part of patients (up to 96%), surgical treatment is carried out too late, when the deformation of the spine becomes extremely severe (A.Paez, D.Lotufo1, M.A.Wilm, 2007). The risk of surgical intervention in such cases is too high, and the efficiency is much lower than the correction of less arcs of curvature. Besides, when spine deformities are II-III-IV degree, the violation of external respiration, changes in the cardio - vascular system, as well as abdominal organs are present Statistical results obtained by prophylactic examination are often smaller in comparison with screening results from other literary sources. According to S.M.Juravlev (1996) and others, the number of patients with scoliosis is higher in those countries where regular and better preventive inspection is carried out, and a higher percentage of children is examined. The average frequency of scoliosis according to the screening control of children consists 14,1-19,7% and in adults - 7.2%. Clinical orthopedic examination remains the base for scoliosis diagnosis. Recognizing the availability and usefulness of this method, we should note that it is not devoid of subjectivity. Radiology is one of the base diagnostic methods but it cannot be used in screening because of the high risk of cancerous effect for the growing body. As an alternative, many modern diagnostic devices and methods were developed to help the determination of biomechanical parameters of musculoskeletal system, inoffensive to the health, which permit the objective evaluation of the spine deformities. These are scoliometry, stabilometry, photometry with mesh screen, microaction evaluation, ultrasound spondylography, moiré topography, optic computer topography, etc. So far there is no unanimity on the objective criteria of scoliosis screening. Many practitioners use several methods for early detection of spine deformities and for following treatment tactics.

Cuvinte-cheie
scoliosis, screening, adolescents, modern methods