• Benoit Kipper, Julien Rod, Damien Fron, Eric Nectoux, Richard Gouron, Francois Deroussen, Isabelle Bernardini, Mathilde Payen, Francois Luc, Joel Lechevallier, Antoine Laquievre, Corinne Bronfen, Thierry Lobbedez, Arnaud Alves, Olivier Dejardin, and Nathan Dolet.
• Department of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France.
• Eur Spine J. 2024 Nov 24.

PurposeFew data are available in the literature in Europe on the possible impact of social health inequalities on the therapeutic management of idiopathic scoliosis. This study aimed to determine whether the adolescent's care pathway in the French health system, affected by idiopathic scoliosis, from the stage of diagnosis to the postoperative stage, could be influenced by socio-economic deprivation.MethodsThis retrospective, multicenter study analyzed 883 patients with surgery for adolescent idiopathic scoliosis between 2009 and 2019. The main clinical outcomes were the Cobb angle at first specialist consultation, brace compliance, the Cobb angle at surgery indication, the time to surgery, postoperative correction, and complications. A multiple linear regression model and multiple logistic regression model were performed to analyze the main outcomes according to the European Deprivation Index (EDI) and Scale Index.ResultsWith the exception of Cobb's angle at the first consultation (OR = 1.03 [1.01-1.04]) and on postoperative correction (OR = 0.997 [0.995-0.999]) socio-economic deprivation did not significantly influence the course of care of the adolescent operated on with idiopathic scoliosis.ConclusionThis study suggested the restricted influence of social deprivation on the management of surgical adolescent idiopathic scoliosis in the French health system. It seems that deprivation occurs only before special therapeutic management, strengthening the importance of systematic screening. Further studies are needed to assess the impact of different socioeconomic factors on this pathology.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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