• Eur Spine J · Feb 2024

    The burden of scoliosis: a nationwide database study on demographics, incidence, and surgical rates.

    • Yavuz Sağlam, Izzet Bingöl, Niyazi Erdem Yaşar, Ebru Dumlupınar, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Güzelali Özdemir, Okan Aslantürk, Barış Görgün, and Turkish Ministry of Health, Pediatric Orthopaedic Scientific Survey Group.
    • Istanbul Faculty of Medicine, Orthopedics and Traumatology Department, Istanbul University, Istanbul, Turkey. yavuz_saglam@hotmail.com.
    • Eur Spine J. 2024 Feb 1; 33 (2): 655662655-662.

    IntroductionScoliosis is characterized as a three-dimensional deformity of the spine, affected by variety of factors, including biological, mechanical, hormonal, and genetics.MethodsOur study's primary objective was to delineate the demographics, incidence, and prevalence of scoliosis from a nationwide perspective, analyze the surgical intervention rates, with the aim of offering more insightful guidance to orthopedic physicians. This nationwide cohort study was conducted from digital database for healthcare information management. Relevant population data, for children under 18 years old, was extracted from the official government census within the period of January 2015 to December 2022. Utilizing diagnostic code of M41 [Scoliosis] was used to define the patient pool from ICD-10. Demographic variables, type of operations (posterior only, anterior only, or combined), and complications were documented. Incidence and prevalence values were calculated using population figures and case numbers.ResultThere were 276,521 patients with an average incidence of 129 per 100,000. Frequency of females was 1.45 times greater than that of males (p < 0.001). A total of 10,417 surgeries were performed in 10,311 patients during the inspection period (3.8% of all cases). Posterior fusion was by far the most common surgical approach (n = 10.111; 97%) followed by anterior fusion (n = 200; 1,9%).ConclusionsOur findings reveal a significant increase in the average incidence of scoliosis diagnosis, rising from 107 per 100,000 individuals in 2015 to 161 per 100,000 in 2022. Scoliosis now impacts an estimated 1.2% of children and adolescents in Turkey. The risk is 1.45 times higher in females than in males.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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