- Department of Neurosurgery, CMH Multan Institute of Medical Sciences, Multan, Punjab, Pakistan.
- Department of Neurosurgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
- Department of Radiology, Fauji Foundation Hospital, Jhelum Road, Rawalpindi, Punjab, Pakistan.
Syeda Kubra Kishwar Jafri, Department of Neurosurgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
DOI:10.25259/SNI_1230_2021Copyright: © 2022 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Muhammad Junaid1, Syeda Kubra Kishwar Jafri2, Syed Sarmad Bukhari2, Anisa Kulsoom3. Incidence of radiographic scoliosis in asymptomatic young Pakistani adults. 17-Jun-2022;13:254
How to cite this URL: Muhammad Junaid1, Syeda Kubra Kishwar Jafri2, Syed Sarmad Bukhari2, Anisa Kulsoom3. Incidence of radiographic scoliosis in asymptomatic young Pakistani adults. 17-Jun-2022;13:254. Available from: https://surgicalneurologyint.com/surgicalint-articles/11659/
Background: Adolescent idiopathic scoliosis (AIS) is the most common scoliotic deformity of young adults. Screening of AIS is performed as part of the routine preemployment examination for physically demanding positions. We attempted to establish the incidence of clinically overt scoliosis in an adolescent (16 years old) and young adult (21 years old) population.
Methods: We clinically and radiographically (X-rays) evaluated 85 applicants for physically demanding jobs in two age groups: those 16 versus those 21 years of age. Cobb’s angles and kyphosis angles were measured for each group. These data were then categorized into three grades based on radiographically documented scoliotic curvatures.
Results: Most 16 years old demonstrated normal Cobb’s angles (90.56%), but kyphosis angles of 20–30° (40.27%). For the 21 years old, most participants had normal Cobb’s angles (93.75%), but exhibited higher than normal kyphosis angles (50%).
Conclusion: Most young adults ages 16–21 years applying for physically demanding work were “fit.” However, the incidence of kyphosis was higher among the 21 years old population. Such screening for idiopathic scoliosis should be more stringently performed in younger patients applying for physically demanding work.
Keywords: Computed tomography, Scoliosis, Spine, X-ray
Scoliosis is defined as an abnormal lateral angulation of the spine of over 10°, in combination with vertebral rotation.[
The study was carried out as a preemployment check for physically demanding jobs to recruit candidates of 16–21 years of age (2015–2019). Following a clinical evaluation, spinal X-rays (i.e., anteroposterior films) taken standing and in the lateral recumbent positions [
For scoliosis, the X-rays data were divided into three groups; Grade I (curvature 0–10°), Grade II (10–20°), and Grade III (20–30°). Curves were classified into cervicothoracic, thoracic, thoracolumbar, and lumbar curves. For kyphosis, the data were divided into three groups; Grade I (10–20°), Grade II (20–30°), and Grade III (30–40°).
Most 16 years old (90.56%) had normal Cobb’s angle (Grade I curvature), whereas 5.66% had Grade II and 3.77% had Grade III scoliosis. Most participants demonstrated kyphosis angles between 20–30° (48.27%) and 30–40° (37.93%), while only 13.79% had kyphosis angles of 10–20°.
The majority of 21 years old had Cobb’s angles of 0–10° (93.75%) and exhibited Grade I versus Grade II and Grade III curvatures [
Luk et al., in a large retrospective cohort of 157,444 students, found school screening programs to be both sensitive and predictive for AIS.[
We found the incidence of scoliosis during preemployment check-up for physically demanding jobs to be well within the range of 0.05–17.7% in asymptomatic individuals as reported by the previous studies [
When we compared the frequency of idiopathic scoliosis in 16 versus 21 years old applying for physically demanding work, we found that most adolescents and young adults were “fit,” but the incidence of kyphosis was higher among the young adult population.
Patients’ consent not required as patients’ identities were not disclosed or compromised.
There are no conflicts of interest.
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