Résumé
Le programme de dépistage de la scoliose à l'âge scolaire pratiqué au “Our Lady's Hospital for Sick Children” de Dublin a fourni le matériel nécessaire à une étude prospective continue de l'histoire naturelle des scolioses idiopathiques de l'adolescent. L'analyse de l'évolution clinique observée chez 339 filles a montré que les progressions d'au moins 10°, survenues chez 46 d'entre elles (13,6%), dépendaient du moment du diagnostic et étaient bien plus liées à la situation de l'enfant sur sa courbe de croissance et à son état pubertaire qu'à la maturité squelettique donnée par le degré d'ossification de la crête iliaque ou l'âge osseux. Cette notion est riche d'implications pour la compréhension de l'histoire naturelle, pour l'établissement des programmes de dépistage et pour l'interprétation des résultats du traitement conservatcur.
Summary
The school scoliosis screening programme at Our Lady's Hospital for Sick Children, Dublin, has provided material for an ongoing prospective natural history study of adolescent idiopathic scoliosis. An examination of the clinical course in 339 girls showed that observation of progression of at least 10°, which occurred in 46 girls (13.6%), depended on the timing of diagnosis and related primarily to the child's position on her growth rate curve and her pubertal status, and much less to skeletal maturity as interpreted by iliac crest ossification or bone age. This has implications for the understanding of results in conservative management, screening programmes and natural history.
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Goldberg, C.J., Dowling, F.E. & Fogarty, E.E. Adolescent idiopathic scoliosis: is rising growth rate the triggering factor in progression?. Eur Spine J 2, 29–36 (1993). https://doi.org/10.1007/BF00301052
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DOI: https://doi.org/10.1007/BF00301052