Fei Wang, Xin Wang, Omar Medina, Ming Yong, Gang Lin, Xiangshui Sun, Zhiqun Zhang, Kai Tang, Yue Lou


July 2021, Volume 30, Issue 7, pp 1848 - 1857 Original Article Read Full Article 10.1007/s00586-021-06779-3

First Online: 01 March 2021

Purpose

To investigate the prevalence of congenital scoliosis (CS) in infants based on chest–abdomen radiographs.

Methods

A retrospective review was conducted on infants in the emergency department (ED) of a tertiary children's hospital between February 2008 and September 2019. Patients who had undergone chest–abdomen X-rays were included. All films from the enrolled patients were screened for CS. Their demographic characteristics, type, and location of the vertebral and rib anomalies, and concomitant defects of other systems were analyzed.

Results

In total, 50,426 infants were enrolled; 89 (1.8‰) were diagnosed with CS, including 56 males and 33 females. There was no gender difference in CS prevalence. The visiting age of the CS patients (70 ± 98days) was significantly younger than that of the non-CS group (P

Conclusion

The prevalence of CS in infants based on chest–abdomen X-rays in the ED was 1.8‰. Both the vertebral and rib anomalies mainly affected the main thoracic region. The spine deformities in infants with concomitant defects of other organs could be identified earlier because of early-onset symptoms, which also bring out a selection bias in our analysis.


Read Full Article