DISTINCTIONS OF SCOLIOSES PROGRESSION IN SCHOOL-AGED CHILDREN ACCORDING TO DATA OF POLTAVA REGIONAL SANATORIUM FOR CHILDREN WITH MUSCULOSKELETAL SYSTEM DISORDERS OVER 2013-2015 PERIOD

Boiko V. V.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

Over the period of three years (2013-2015), it was examined 951 children that received medical sanatorium treatment with clinical and X-ray diagnosis of scoliotic disease. Children were obligatory radiographically examined. Anteroposterior X-ray examination was carried out to all children in upright and lateral position. The angles of spinal curvature were determined by Ferguson method, as the latter is the most accurate, in our opinion. The analysis of the scoliosis distribution in school-aged children was performed according to: 1. Degree of deformation; 2. Form of arch curvature; 3. Side of the main arch predominance; 4. Gender distribution. Analysis of observations. I. Gender distribution: among 1511 examined children, scoliosis was revealed in 951 children, correspondingly, 543 (57%) girls and 408 (43%) boys. These findings are somewhat different from data registered by Fishchenko Ya. V. (Institute of Traumatology and Orthopedics of AMS of Ukraine, Kyiv): girls − 67% and boys – 33%. II. Distribution according to the curvature degree: I degree scoliosis in 889 patients (93,5%); II degree scoliosis in 52 patients (5,6%); III degree scoliosis in 10 patients (1,0%). III. Distribution according to types of arch curvature: a) C-shaped (with one primary arch of curvature, regardless of the curvature side and placement level of the apex) – 871 patients (91,6%). These data differ from the findings of other authors, due to the fact that hospitals generally provide medical treatment for the patients with significant deformities that require surgical treatment. b) S-shaped or combined (with two primary arches of curvature) – 78 patients (8,2%); b) combined, with three arches – one primary and two compensatory – 2 patients (0,2 %). The analysis determined: 1. Distribution according to degree of curvature (I degree – 93,5%, II degree – 5,6%, III degree – 1,0%). 2. According to the arch curvature: C-shaped (with one primary arch of curvature, regardless of the curvature side and the placement level of the apex) − 91,6%; S-shaped, or combined (with two primary arches of curvature) − 8.2%; S-shaped with three arches – 0,2%. 3. According to predominance of primary arch curvature: to the right – 56%; to the left – 44%. 4. Girls suffer from disease more often than boys (57% and 43%, correspondingly).

scoliosis, prevalence of scolioses, scolioses treatment

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«Bulletin of problems biology and medicine» Issue 2 part 1 (128), 2016 year, 23-26 pages, index UDK 616.711.-007.17./55