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Epidemiology of adolescent idiopathic scoliosis

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TLDR
For example, this paper found that the prevalence of curves with higher Cobb angles is substantially higher in girls than in boys, and the female to male ratio rises from 1.5:1 to 3:1 and increases substantially with increasing age.
Abstract
Adolescent idiopathic scoliosis is a common disease with an overall prevalence of 0.47–5.2 % in the current literature. The female to male ratio ranges from 1.5:1 to 3:1 and increases substantially with increasing age. In particular, the prevalence of curves with higher Cobb angles is substantially higher in girls than in boys: The female to male ratio rises from 1.4:1 in curves from 10° to 20° up to 7.2:1 in curves >40°. Curve pattern and prevalence of scoliosis is not only influenced by gender, but also by genetic factors and age of onset. These data obtained from school screening programs have to be interpreted with caution, since methods and cohorts of the different studies are not comparable as age groups of the cohorts and diagnostic criteria differ substantially. We do need data from studies with clear standards of diagnostic criteria and study protocols that are comparable to each other.

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Citations
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Journal ArticleDOI

Adolescent Idiopathic Scoliosis

TL;DR: The features of AIS are outlined to allow the physician to recognise this condition and commence early treatment, thereby optimizing patient outcome, and results in higher incidence of back pain and discontent with body image.
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The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial: “SOSORT 2015 Award Winner”

TL;DR: Supervised Schroth exercises provided added benefit to the standard of care by improving SRS-22r pain, self-image scores and BME, and it is hypothesized that in the AIS population receiving conservative treatments, different QOL questionnaires with adequate responsiveness are needed.
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Screening for Adolescent Idiopathic Scoliosis: Evidence Report and Systematic Review for the US Preventive Services Task Force

TL;DR: There is little or no evidence on long-term outcomes for AIS treated in adolescence, the association between curvature at skeletal maturity and adult health outcomes, the harms of AIS screening or treatment, or the effect of Ais screening on adult health outcome.
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Accuracy of robot-assisted pedicle screw placement for adolescent idiopathic scoliosis in the pediatric population

TL;DR: It is concluded that the proper use of image-guided robot-assisted surgery can improve the accuracy and safety of thoracic pedicle screw placement in patients with adolescent idiopathic scoliosis and the misplacement rate was lower than similarly constructed studies evaluating conventional procedures.
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Etiological Theories of Adolescent Idiopathic Scoliosis: Past and Present

TL;DR: The most prevalent theories of scoliosis etiology are reviewed and recent trends in research are reviewed, indicating that the condition likely has many causes and could be similar among homogenous groups of AIS patients, or they could be individual.
References
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Journal ArticleDOI

The effect of a modified Boston brace with anti-rotatory blades on the progression of curves in idiopathic scoliosis: aetiologic implications.

TL;DR: The conservative treatment using this modified Boston brace is beneficially affecting the natural history of IS in children, indicating that in curves with a compensatory component, a deforming rotatory force is present and seems to be more active in the lumbar spine.
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SpineCor treatment for Juvenile Idiopathic Scoliosis: SOSORT award 2010 winner.

TL;DR: The conclusion from this study is that the SpineCor orthosis is a very effective method of treatment of juvenile idiopathic scoliosis and that surgery can be avoided or at least postponed.
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The induction of congenital spinal deformities in mice by maternal carbon monoxide exposure.

TL;DR: An animal model of congenital spinal deformities that compares favorably with the evidence of human congenital spine deformities in cases of maternal exposure to CO and other gas and chemical fumes is identified.
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Changes in Life Satisfaction and Self-esteem in Patients with Adolescent Idiopathic Scoliosis With and Without Surgical Intervention

TL;DR: Findings indicate that surgical correction of adolescent idiopathic scoliosis in eligible patients can lead not only to curve correction, but also to an increase self-esteem and life satisfaction.
Journal ArticleDOI

Sexual dimorphism in adolescent idiopathic scoliosis.

TL;DR: Sexual dimorphism in spine growth, morphology, stiffness, curve pattern, and hormones may be the environment in which genetic factors combine to produce the phenotype of a scoliosis patient.
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Why does scoliosis affect more women than men?

Scoliosis affects more women than men, with a female to male ratio ranging from 1.5:1 to 3:1, and increasing with age.