Article

Idiopathic scoliosis affects 2-3% of adolescents. Large, progressing deformities,
mostly present in girls, may lead to pulmonary complications, pain symptoms, the
feeling of social isolation, and even mental disorders. The correlation of
screening programs with surgery rate reduction and the clinical effectiveness of
bracing remain a matter of debate. Critics indicate overdetection, qualification
for therapy of insignificant curves, unjustified treatment, and risks of
psychological side effects, whereas supporters underline the need for screening,
and suggest improvements. It remains unclear whether such opposite opinions are
based on sound evidence. To identify relevant studies, guidelines, and
recommendations, MEDLINE, Google Scholar, and Cochrane Library databases were
searched. The levels of evidence presented in selected studies and grading of
recommendations reported in available guidelines and recommendation statements
were assessed using the SIGN scoring system. Screening programs are legislated,
recommended, or not recommended in different American states. British and
Canadian screening recommendations do not mention scoliosis; Australian boards
recommend against scoliosis screening programs. Other publications such as
Singapore, Turkish, and Malaysian publications underline the cost-effectiveness
and clinical importance of the procedures. Different Greek authors postulate the
benefits and harms caused by the programs to many schoolchildren. Such a polarity
illustrates the topicality of the quality of scientific evidence analyses and the
significance of the grading of the recommendations process. It appears that
critical opinions often result from implementing such analyses, whereas those
supporting the programs tend to value the importance of expert opinions.

Langue : ANGLAIS