Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Apr;29(4):786-793.
doi: 10.1007/s00586-020-06341-7. Epub 2020 Feb 28.

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

Xiang-Xiang Pan  1   2   3 , Chong-An Huang  1   2   3 , Jia-Liang Lin  1   2   3 , Zeng-Jie Zhang  1   2   3 , Yi-Feng Shi  1   2   3 , Bo-Da Chen  1   2   3 , Hua-Wei Zhang  1   2   3 , Zhi-Yue Dai  4   5 , Xin-Ping Yu  4   5 , Xiang-Yang Wang  6   7   8
Affiliations

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

Xiang-Xiang Pan et al. Eur Spine J. 2020 Apr.

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. These slides can be retrieved under Electronic Supplementary Material.

Keywords: Chest radiographs; Prevalence of scoliosis; Scoliosis; Strabismus; Thoracic scoliosis.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. J Epidemiol. 2012;22(1):37-44 - PubMed
    1. Front Syst Neurosci. 2016 Sep 06;10:67 - PubMed
    1. Ophthalmology. 2006 Jul;113(7):1146-53 - PubMed
    1. Am J Ophthalmol. 2007 Nov;144(5):663-7 - PubMed
    1. Am J Ophthalmol. 2005 Jul;140(1):65-8 - PubMed

Publication types

LinkOut - more resources