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28.02.2020 | Original Article

Prevalence of the thoracic scoliosis in children and adolescents candidates for strabismus surgery: results from a 1935-patient cross-sectional study in China

verfasst von: Xiang-Xiang Pan, Chong-An Huang, Jia-Liang Lin, Zeng-Jie Zhang, Yi-Feng Shi, Bo-Da Chen, Hua-Wei Zhang, Zhi-Yue Dai, Xin-Ping Yu, Xiang-Yang Wang

Erschienen in: European Spine Journal | Ausgabe 4/2020

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Abstract

Purpose

No study so far has paid attention to strabismus-related spinal imbalance. This study aimed to determine the epidemiology of thoracic scoliosis in children and adolescents with strabismus and investigate the association of two diseases.

Methods and design

A cross-sectional study. Study group consists of 1935 consecutive candidates for strabismus surgery (4–18 years); Control group consists of the age- and sex-matched patients with respiratory diseases. All subjects underwent a screening program based on chest plain radiographs using the Cobb method. Their demographic information, clinical variables and results of Cobb angle were recorded and analyzed.

Results

A significantly higher prevalence of thoracic scoliosis (289/1935, 14.94% versus 58/1935, 3.00%) was found in study group compared with control group. Among strabismic patients, the coronal thoracic scoliosis curve mainly distributed in right and in main thoracic (198/289) and in the curves 10°–19° (224/289); Age range 7–9 years (103/1935), female (179/1935) and concomitant exotropia patients (159/851) were more likely to have thoracic scoliosis. According to the logistic regression, thoracic scoliosis had no significant association with age, BMI, duration of illness and onset age (p > 0.05). However, gender, BCVA, type of strabismus and degree of strabismus showed a significant relationship with the prevalence of thoracic scoliosis (p < 0.05).

Conclusions

With a pooled prevalence of 14.94%, strabismus patients showed a great higher risk of developing thoracic scoliosis. Screening for scoliosis in strabismus patients can be helpful to discover a high prevalence of potential coronal scoliosis. More attention should be paid to ophthalmological problems in patients with scoliosis.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

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Titel: Prevalence of the thoracic scoliosis in children and adolescents candidates for strabismus surgery: results from a 1935-patient cross-sectional study in China
verfasst von: Xiang-Xiang Pan
Chong-An Huang
Jia-Liang Lin
Zeng-Jie Zhang
Yi-Feng Shi
Bo-Da Chen
Hua-Wei Zhang
Zhi-Yue Dai
Xin-Ping Yu
Xiang-Yang Wang
Publikationsdatum: 28.02.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 4/2020
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-020-06341-7

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Prevalence of the thoracic scoliosis in children and adolescents candidates for strabismus surgery: results from a 1935-patient cross-sectional study in China

Abstract

Purpose

Methods and design

Results

Conclusions

Graphic abstract

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods and design

Results

Conclusions

Graphic abstract

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