Scoliosis epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

Scoliosis is the most common spinal deformity. The prevalence of scoliosis is approximately 470-5200 per 100,000 individuals worldwide. Patients of all age groups may develop scoliosis. Curves convex to the right are more common than those to the left, and single or 'C' curves are slightly more common than double or 'S' curve patterns. Scoliosis usually affects individuals of African-American race more than any other race. The female to male ratio is approximately 1.5-3 to 1 for idiopathic scoliosis, whereas its equal gender predilection for congenital scoliosis.

Epidemiology and Demographics

Scoliosis is the most common spinal deformity. Highest incidence of scoliosis is in adoloscent women. Epidemiology and demographics of scoliosis is as follows:[1]

Prevalence

  • The prevalence of scoliosis is approximately 470-5200 per 100,000 individuals worldwide.[1]

Age

  • Patients of all age groups may develop scoliosis.
  • Congenital scoliosis develops at the age of 0–3 years and have a prevalence of 1000 per 100,000 individuals.[1]
  • Adolescent scoliosis develops at the age of 11–18 years and accounts for approximately 90 % of cases of idiopathic scoliosis in children.
  • Scoliosis has a prevalence of more than 8000 per 100,000 in adults over the age of 25 and rises up 68000 per 100,000 individuals in the age of over 60 years, caused by degenerative changes in the aging spine.

Race

  • Scoliosis usually affects individuals of African-American race.[2]

The severity of curve according to race is as follows:[3]

Severity of scoliotic curve according to race
Race Mean Curve Magnitude
African - American 330
Caucasian 280
Hispanic 270
Asian 280
Others 280

Gender

Region

References

  1. 1.0 1.1 1.2 1.3 1.4 Konieczny MR, Senyurt H, Krauspe R (2013). "Epidemiology of adolescent idiopathic scoliosis". J Child Orthop. 7 (1): 3–9. doi:10.1007/s11832-012-0457-4. PMC 3566258. PMID 24432052.
  2. Carter OD, Haynes SG (1987). "Prevalence rates for scoliosis in US adults: results from the first National Health and Nutrition Examination Survey". Int J Epidemiol. 16 (4): 537–44. PMID 3501989.
  3. Zavatsky JM, Peters AJ, Nahvi FA, Bharucha NJ, Trobisch PD, Kean KE; et al. (2015). "Disease severity and treatment in adolescent idiopathic scoliosis: the impact of race and economic status". Spine J. 15 (5): 939–43. doi:10.1016/j.spinee.2013.06.043. PMID 24099683.
  4. Suh SW, Modi HN, Yang JH, Hong JY (2011). "Idiopathic scoliosis in Korean schoolchildren: a prospective screening study of over 1 million children". Eur Spine J. 20 (7): 1087–94. doi:10.1007/s00586-011-1695-8. PMC 3176687. PMID 21274729.
  5. Daruwalla JS, Balasubramaniam P, Chay SO, Rajan U, Lee HP (1985). "Idiopathic scoliosis. Prevalence and ethnic distribution in Singapore schoolchildren". J Bone Joint Surg Br. 67 (2): 182–4. PMID 3980521.
  6. Lonstein JE, Bjorklund S, Wanninger MH, Nelson RP (1982). "Voluntary school screening for scoliosis in Minnesota". J Bone Joint Surg Am. 64 (4): 481–8. PMID 6802853.
  7. Asher M, Green P, Orrick J (1980). "A six-year report: spinal deformity screening in Kansas school children". J Kans Med Soc. 81 (12): 568–71. PMID 7217757.

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