Scoliosis epidemiology and demographics: Difference between revisions

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===Gender===
===Gender===
*Females are more commonly affected by idiopathic scoliosis than males. The female to male ratio is approximately 1.5-3 to 1.
*Females are more commonly affected by idiopathic scoliosis than males. The female to male ratio is approximately 1.5-3 to 1.<ref name="pmid24432052" />
*Congenital scoliosis affects males and females equally.
*Congenital scoliosis affects males and females equally.



Revision as of 20:13, 30 November 2018

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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

Prevalance

Scoliotic curves greater than 10° affect 2-3% of the population of the United States. Curves greater than 20° affect about 40 in 100,000 people. 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. Males are more likely to have infantile or juvenile scoliosis, but there is a high female predominance of adolescent scoliosis. Young males are seven times more likely than young females to develop a significant, progressive curvature. Females are nine times more likely to require treatment than males as they tend to have larger, more progressive curves.

Gender

  • The prevalence of curves less than 20° is about equal in males and females.
  • Males are more likely to have infantile or juvenile scoliosis, but there is a high female predominance of adolescent scoliosis.
  • Young males are seven times more likely than young females to develop a significant, progressive curvature.
  • Females are nine times more likely to require treatment than males as they tend to have larger, more progressive curves.

Overview

Epidemiology and Demographics

Scoliosis

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

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 shows 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

  • Females are more commonly affected by idiopathic scoliosis than males. The female to male ratio is approximately 1.5-3 to 1.[1]
  • Congenital scoliosis affects males and females equally.

Region

  • The majority of scoliosis cases are reported in Germany.


Developed Countries

Developing Countries

References

  1. 1.0 1.1 1.2 1.3 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.

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