Incidence and Surgery Rate of Idiopathic Scoliosis: A Nationwide Database Study

Sahyun Sung, Hyun-Wook Chae, Hye Sun Lee, Sinae Kim, Ji-Won Kwon, Soo-Bin Lee, Seong-Hwan Moon, Hwan-Mo Lee and Byung Ho Lee
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Sahyun Sung: Department of Orthopedic Surgery, Ewha Womans University College of Medicine, Seoul 07804, Korea
Hyun-Wook Chae: Department of Pediatrics, Yonsei University College of Medicine, Seoul 03722, Korea
Hye Sun Lee: Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul 03722, Korea
Sinae Kim: Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul 03722, Korea
Ji-Won Kwon: Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Korea
Soo-Bin Lee: Department of Orthopedic Surgery, Catholic-Kwandong University, Incheon 22711, Korea
Seong-Hwan Moon: Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Korea
Hwan-Mo Lee: Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Korea
Byung Ho Lee: Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Korea

IJERPH, 2021, vol. 18, issue 15, 1-11

Abstract: Idiopathic scoliosis is the most common cause of three-dimensional deformities of the spine. Most of the previous studies have been cross-sectional studies to estimate the prevalence in the general population. An age-matched, population-based study is performed using nationwide databases between 2011 and 2015. The incidence rates of idiopathic scoliosis by age group, sex, and region are identified. We also investigate the pattern of medical institution use and the surgery rate of patients with idiopathic scoliosis. Our results show that a total of 268,372 patients were diagnosed with idiopathic scoliosis. The overall incidence was 0.497%, and the incidence for females was 1.44 times higher than for males. By age group, the incidence of adolescent idiopathic scoliosis in patients aged 10–14 years was 0.821% compared to 0.029%, 0.192%, and 0.709% for those patients aged 0–2, 3–9, and 15–19 years, respectively. Both male and female urban populations had higher incidences than rural populations with no age differences at diagnosis. Survival analysis confirmed that 0.7% of diagnosed patients underwent surgical treatment within five years. Understanding the epidemiology of idiopathic scoliosis is helpful in diagnosing high risk patients and monitoring surgical interventions.

Keywords: Idiopathic scoliosis; incidence; medical utilization patterns; surgical treatment; nationwide database (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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