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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPENHA, Patricia Jundi
dc.contributor.authorRAMOS, Narima Livia Jundi Penha
dc.contributor.authorCARVALHO, Barbarah Kelly Goncalves de
dc.contributor.authorANDRADE, Rodrigo Mantelatto
dc.contributor.authorSCHMITT, Ana Carolina Basso
dc.contributor.authorJOAO, Silvia Maria Amado
dc.date.accessioned2019-01-17T13:32:29Z-
dc.date.available2019-01-17T13:32:29Z-
dc.date.issued2018
dc.identifier.citationSPINE, v.43, n.24, p.1710-1718, 2018
dc.identifier.issn0362-2436
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/29907-
dc.description.abstractStudy Design. A cross-sectional study. Objective. To estimate the prevalence of adolescent idiopathic scoliosis (AIS) in cities in the state of Sao Paulo, Brazil, as well as to identify demographic, clinical, and lifestyle factors associated with AIS. Summary of Background Data. AIS is a common three-dimensional spinal deformity. Epidemiological data about the condition in the southern hemisphere are scarce, and Brazil has no public health policies to implement school-based scoliosis screening programs. Methods. We assessed 2562 adolescents between 10 and 14 years of age. The screening procedure included measurement of the angle of trunk rotation using a scoliometer in the Adams forward bend test and the radiographic examination. Results. The overall prevalence of AIS was 1.5% (95% confidence interval [CI]: 1%-1.9%). The AIS prevalence was higher among the females than among the males-2.2% (95% CI: 1.4%-2.9%) and 0.5% (95% CI: 0.1%-0.9%), respectively. The following factors were associated with the development of AIS: being female (OR = 4.7, 95% CI: 1.8-12.2; P = 0.001) and being in the 13- to 14-year age group (OR = 2.2; 95% CI: 1.0-4.8; P = 0.035). Double curves and right laterality were more common (59.4% and 56.8%, respectively), although the curves were of low magnitude (75% of the curves having a Cobb angle <= 22 degrees), as was the progression factor (<= 1.2 in 75% of the cases). Conclusion. The prevalence of AIS in cities within the state of Sao Paulo was similar to that reported in the literature, was higher among females, and was higher during puberty (13-14 years of age). Because puberty occurs later for males than for females, the recommendation to screen both sexes at 10 to 14 years of age should be reconsidered.eng
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo grant (FAPESP, Sao Paulo Research Foundation) [2013/25774-9]
dc.description.sponsorshipPontificia Universidade Catolica de Sao Paulo (PUCSP, Pontifical Catholic University of Sao Paulo)
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofSpine
dc.rightsrestrictedAccesseng
dc.subjectadolescenteng
dc.subjectmass screeningeng
dc.subjectprevalenceeng
dc.subjectschool health serviceseng
dc.subjectscoliosiseng
dc.subject.otherschool studentseng
dc.titlePrevalence of Adolescent Idiopathic Scoliosis in the State of Sao Paulo, Brazileng
dc.typearticleeng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.identifier.doi10.1097/BRS.0000000000002725
dc.identifier.pmid29877996
dc.subject.wosClinical Neurologyeng
dc.subject.wosOrthopedicseng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalRAMOS, Narima Livia Jundi Penha:Univ Sao Paulo, Sch Med, Dept Phys Therapy Speech & Occupat Therapy, Sao Paulo, Brazil
hcfmusp.author.externalANDRADE, Rodrigo Mantelatto:Univ Sao Paulo, Sch Med, Dept Phys Therapy Speech & Occupat Therapy, Sao Paulo, Brazil; Pontifical Catholic Univ Sao Paulo, Sao Paulo, Brazil
hcfmusp.description.beginpage1710
hcfmusp.description.endpage1718
hcfmusp.description.issue24
hcfmusp.description.volume43
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000452187300011
hcfmusp.origem.id2-s2.0-85061982232
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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dc.description.indexMEDLINEeng
dc.identifier.eissn1528-1159
hcfmusp.citation.scopus10-
hcfmusp.scopus.lastupdate2022-05-06-
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