• Yair Zloof, Ran Ankory, Amit Elbaz Braun, Maya Braun, Shlomi Abuhasira, Naama Schwartz, Dotan Yaari, Elon Glassberg, and Amir Shlaifer.
• Medical Corps, Israel Defense Forces, Ramat-Gan, Israel.
• Spine. 2022 Jun 15; 47 (12): 841-846.

Study DesignA cross-sectional study.ObjectiveWe designed this study to investigate the risk for spinal deformity among individuals whose parents had a spinal deformity.Summary Of Background DataAdolescent idiopathic scoliosis and Scheuermann kyphosis (SK) are common adolescent spinal deformities (ASD) with a significant impact on public health. Timely treatment with bracing is effective in halting or slowing the progression of these deformities. However, screening healthy adolescents for spinal deformities remains debatable. While the leading medical organizations endorse contradictory positions regarding the screening of the general population, there is a consensus that screening of targeted population should be considered. Due to their genetic predisposition, adolescents whose parents suffer from a spinal deformity may be candidates for targeted screening.MethodsWe conducted a nationwide, population-based study of 611,689 Israeli adolescents, aged 16 to 19 years old, who were screened for spinal deformities between the years 2000 and 2019. The data for this study were derived from a central database containing medical records of all adolescents who were examined preliminary to mandatory military service. In our study, ASD were strictly defined by plain x-ray.ResultsCompared with adolescents of whose parents did not have a spinal deformity, the odds ratios (OR) for ASD among adolescents whose father, mother, or both parents had spinal deformity were 1.46, 1.74, and 2.58, respectively. These ratios were consistent in multivariate models.ConclusionWe have found a considerable increased risk for adolescent spinal deformities among adolescents whose parents suffered from spinal deformities. We believe that our findings should serve the leading medical organizations when considering the screening of targeted populations.Level Of Evidence4.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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