Volume 45 Issue 7
Jul.  2024
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SONG Xinli, YUAN Wen, JIANG Jianuo, LIU Zhonghui, CHEN Lu, SONG Yi, MA Jun, DONG Yanhui. Current status and progress in the prevention and control of spinal curvatures in Chinese children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1059-1064. doi: 10.16835/j.cnki.1000-9817.2024224
Citation: SONG Xinli, YUAN Wen, JIANG Jianuo, LIU Zhonghui, CHEN Lu, SONG Yi, MA Jun, DONG Yanhui. Current status and progress in the prevention and control of spinal curvatures in Chinese children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1059-1064. doi: 10.16835/j.cnki.1000-9817.2024224

Current status and progress in the prevention and control of spinal curvatures in Chinese children and adolescents

doi: 10.16835/j.cnki.1000-9817.2024224
  • Received Date: 2024-04-16
  • Rev Recd Date: 2024-05-24
  • Available Online: 2024-07-27
  • Publish Date: 2024-07-25
  • Spinal curvatures has emerged as the third major chronic condition seriously threatening the physical and mental health of Chinese children and adolescents, with significant regional differences. Its etiology is complex and diverse, and early prevention and treatment are feasible, whereas treatment in later stages entails considerable difficulty and economic burden. Currently, the prevention and control of student spinal curvatures has been elevated to a national health strategy. A series of policy documents have been successively issued, and it has greatly facilitated the institutionalization and normalization of national routine screening for student spinal curvatures. However, it is still inadequate considering current prevention and control system for spinal curvatures in children and adolescents. There is an urgent need to establish a closed-loop model based on China's institutional advantages, comprising Initial Screening-Diagnosis-Treatment-Preventive Control-Follow-up Assessment, to strengthen the safeguarding of spinal health in children and adolescents.
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  • [1]
    QIU G X. Scoliosis in China: history and present status[J]. Chin Med J, 2017, 130(21): 2521-2523. doi: 10.4103/0366-6999.217081
    [2]
    儿童青少年脊柱弯曲异常防控技术指南编写组, 马军. 《儿童青少年脊柱弯曲异常防控技术指南》解读[J]. 中国学校卫生, 2022, 43(2): 165-170, 175. doi: 10.16835/j.cnki.1000-9817.2022.02.002

    Expert Group of Editorial Committee of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Chinese Children and Adolescents, MA J. Interpretation of Technical Guidelines for Prevention and Control of Abnormal Spinal Curvature in Children and Adolescents[J]. Chin J Sch Health, 2022, 43(2): 165-170, 175. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.02.002
    [3]
    DUNN J, HENRIKSON N B, MORRISON C C, et al. Screening for adolescent idiopathic scoliosis: evidence report and systematic review for the US preventive services task force[J]. JAMA, 2018, 319(2): 173-187. doi: 10.1001/jama.2017.11669
    [4]
    MARKS D S, QAIMKHANI S A. The natural history of congenital scoliosis and kyphosis[J]. Spine, 2009, 34(17): 1751-1755. doi: 10.1097/BRS.0b013e3181af1caf
    [5]
    AKBARNIA B A, EMANS J B. Complications of growth-sparing surgery in early onset scoliosis[J]. Spine, 2010, 35(25): 2193-2204. doi: 10.1097/BRS.0b013e3181f070b5
    [6]
    CAMPBELL M, MATSUMOTO H, ST HILAIRE T, et al. Burden of care in families of patients with early onset scoliosis[J]. J Pediatr Orthop B, 2020, 29(6): 567-571.
    [7]
    BETTANY-SALTIKOV J, WEISS H R, CHOCKALINGAM N, et al. Surgical versus non-surgical interventions in people with adolescent idiopathic scoliosis[J]. Cochrane Database Syst Rev, 2015(4): Cd010663.
    [8]
    国家疾病预防控制局综合司关于印发学生常见病多病共防技术指南的通知[EB/OL]. (2024-05-06)[2024-05-22]. https://www.gov.cn/zhengce/zhengceku/202405/content_6949610.htm.

    Notice of General Department of National Disease Control and Prevention Administration on issuing a joint prevention technology for common diseases and multiple diseases among students[EB/OL]. (2024-05-06)[2024-05-22]. https://www.gov.cn/zhengce/zhengceku/202405/content_6949610.htm. (in Chinese)
    [9]
    李卫平, 王志勇, 宋斌, 等. 不同时期广州市青少年儿童脊柱侧凸患病率调查[J]. 中国组织工程研究与临床康复, 2010, 14(46): 8712-8716. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201046056.htm

    LI W P, WANG Z Y, SONG B, et al. Scoliosis prevalence survey of adolescents in Guangzhou City during different periods[J]. Chin J Tissue Engin Res, 2010, 14(46): 8712-8716. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201046056.htm
    [10]
    王振堂, 李中实, 刘朝晖, 等. 北京市中小学生脊柱侧凸患病率调查报告[J]. 中国脊柱脊髓杂志, 2007, 17(6): 440-442. doi: 10.3969/j.issn.1004-406X.2007.06.010

    WANG Z T, LI Z S, LIU Z H, et al. Investigation of scoliosis among school children in Beijing[J]. Chin J Spine Spinal Cord, 2007, 17(6): 440-442. (in Chinese) doi: 10.3969/j.issn.1004-406X.2007.06.010
    [11]
    徐弢, 徐建成, 李中华, 等. 兰州市中小学生特发性脊柱侧凸调查[J]. 预防医学, 2020, 32(11): 1155-1157, 1160. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202011018.htm

    XU T, XU J C, LI Z H, et al. Survey on idiopathic scoliosis among primary and secondary school students in Lanzhou City[J]. Prev Med, 2020, 32(11): 1155-1157, 1160. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202011018.htm
    [12]
    徐帅, 苏永佳, 王振波, 等. 中国大陆中小学生脊柱侧凸的患病特点: 关于72项研究的Meta分析[J]. 中国脊柱脊髓杂志, 2021, 31(10): 901-910. doi: 10.3969/j.issn.1004-406X.2021.10.05

    XU S, SU Y J, WANG Z B, et al. The prevalence and characteristics of primary and middle-school students in China: a Meta-analysis based on 72 epidemiological research[J]. Chin J Spine Spinal Cord, 2021, 31(10): 901-910. (in Chinese) doi: 10.3969/j.issn.1004-406X.2021.10.05
    [13]
    国家疾病预防控制局. 《儿童青少年脊柱弯曲异常防控技术指南》及编写说明[EB/OL]. (2021-11-01)[2024-04-01]. http://www.nhc.gov.cn/jkj/s5899tg/202111/5579c1240d034ac680a7505994aa082d.shtml.

    National Disease Control and Prevention Administration. Technical Guidelines for Prevention and Control of Abnormal Spinal Curvature in Children and Adolescents and writing instructions administration[EB/OL]. (2021-11-01)[2024-04-01]. http://www.nhc.gov.cn/jkj/s5899tg/202111/5579c1240d034ac680a7505994aa082d.shtml. (in Chinese)
    [14]
    HU M, ZHANG Z, ZHOU X, et al. Prevalence and determinants of adolescent idiopathic scoliosis from school screening in Huangpu District, Shanghai, China[J]. Am J Translat Res, 2022, 14(6): 4132-4138.
    [15]
    ZOU Y, LIN Y, MENG J, et al. The prevalence of scoliosis screening positive and its influencing factors: a school-based cross-sectional study in Zhejiang Province, China[J]. Front Public Health, 2022, 10: 773594. doi: 10.3389/fpubh.2022.773594
    [16]
    张献伟, 孙志颖, 刘忠慧, 等. 天津市中学生脊柱侧弯流行特征及影响因素分析[J]. 中国学校卫生, 2023, 44(1): 115-118. doi: 10.16835/j.cnki.1000-9817.2023.01.025

    ZHANG X W, SUN Z Y, LIU Z H, et al. Analysis of epidemiological characteristics and influencing factors of scoliosis among middle school students in Tianjin[J]. Chin J Sch Health, 2023, 44(1): 115-118. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.01.025
    [17]
    亓德云, 李丽平, 江艳微, 等. 上海市虹口区儿童青少年脊柱弯曲异常现状及影响因素分析[J]. 中国学校卫生, 2021, 42(3): 444-447, 453. doi: 10.16835/j.cnki.1000-9817.2021.03.030

    QI D Y, LI L P, JIANG Y W, et al. Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai[J]. Chin J Sch Health, 2021, 42(3): 444-447, 453. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.03.030
    [18]
    杨田, 张秀红, 高昇, 等. 内蒙古自治区中学生脊柱弯曲异常现状及影响因素分析[J]. 中国学校卫生, 2023, 44(3): 447-450. doi: 10.16835/j.cnki.1000-9817.2023.03.029

    YANG T, ZHANG X H, GAO S, et al. Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region[J]. Chin J Sch Health, 2023, 44(3): 447-450. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.03.029
    [19]
    李尚乐, 张强, 荣霞. 西藏地区中小学生脊柱弯曲异常状况分析[J]. 中国学校卫生, 2021, 42(9): 1384-1387. doi: 10.16835/j.cnki.1000-9817.2021.09.026

    LI S L, ZHANG Q, RONG X. Abnormal spinal curvature in primary and secondary school students in Tibet[J]. Chin J Sch Health, 2021, 42(9): 1384-1387. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.09.026
    [20]
    ZHOU L, YANG H, HAI Y, et al. Scoliosis among children in Qinghai-Tibetan Plateau of China: a cross-sectional epidemiological study[J]. Front Public Health, 2022, 10: 983095. doi: 10.3389/fpubh.2022.983095
    [21]
    赵芳芳, 赵瑞兰, 段军伟, 等. 北京市某区9~18岁中小学生脊柱弯曲异常状况及影响因素分析[J]. 华南预防医学, 2022, 48(10): 1272-1274. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202210027.htm

    ZHAO F F, ZHAO R L, DUAN J W, et al. Abnormal spinal curvature of primary and middle school students aged 9-18 years in a district of Beijing and its influencing factors[J]. South Chin Prev Med, 2022, 48(10): 1272-1274. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202210027.htm
    [22]
    许馨文, 周巧玲, 樊玉芳, 等. 甘肃省中小学生脊柱弯曲异常情况分析[J]. 中国初级卫生保健, 2022, 36(6): 93-94, 98. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202206029.htm

    XU X W, ZHOU Q L, FAN Y F, et al. Analysis of abnormal spinal curvature among primary and secondary school students in Gansu Province[J]. Chin Prim Health Care, 2022, 36(6): 93-94, 98. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202206029.htm
    [23]
    董彬, 霍卓平. 儿童青少年脊柱弯曲异常的防治[J]. 中国学校卫生, 2008, 29(12): 1163-1165. doi: 10.3969/j.issn.1000-9817.2008.12.052

    DOND B, HUO Z P. Prevention and treatment of abnormal spinal curvature in children and adolescents[J]. Chin J Sch Health, 2008, 29(12): 1163-1165. (in Chinese) doi: 10.3969/j.issn.1000-9817.2008.12.052
    [24]
    郑瑜, 吴晓珺, 孙宁, 等. 无锡市北塘区小学生特发性脊柱侧凸患病率调查[J]. 中国康复理论与实践, 2016, 22(3): 335-340. doi: 10.3969/j.issn.1006-9771.2016.03.022

    ZHENG Y, WU X J, SUN N, et al. Prevalence of idiopathic scoliosis in primary school children in Beitang District, Wuxi[J]. Chin J Rehabil Theory Pract, 2016, 22(3): 335-340. (in Chinese) doi: 10.3969/j.issn.1006-9771.2016.03.022
    [25]
    SEDREZ J, DA ROSA M, NOLL M, et al. Risk factors associated with structural postural changes in the spinal column of children and adolescents[J]. Rev Paul Pediatr, 2015, 33(1): 72-81. doi: 10.1016/j.rpped.2014.11.012
    [26]
    唐倩倩, 陈玉华. 大学新生脊柱侧弯患者的生活行为习惯调查[J]. 湖北理工学院学报, 2021, 37(3): 51-54. https://www.cnki.com.cn/Article/CJFDTOTAL-HSGD202103011.htm

    TANG Q Q, CHEN Y H. Investigation on life and behavioral habits of scoliosis patients among college freshmen[J]. J Hubei Polytechn Univ, 2021, 37(3): 51-54. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HSGD202103011.htm
    [27]
    王富百慧, 李雅倩, 郭晓丹, 等. 久坐时间、身体活动与青少年身体姿态异常[J]. 中国青年研究, 2021(6): 5-12. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202106002.htm

    WANG F B H, LI Y Q, GUO X D, et al. Sedentary time, physical activity and abnormal body posture in adolescents[J]. China Youth Study, 2021(6): 5-12. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202106002.htm
    [28]
    DRZAŁ-GRABIEC J, SNELA S, RACHWAŁ M, et al. Effects of carrying a backpack in an asymmetrical manner on the asymmetries of the trunk and parameters defining lateral flexion of the spine[J]. Hum Factors, 2015, 57(2): 218-226.
    [29]
    CEBALLOS LAITA L, TEJEDOR CUBILLO C, MINGO GÓMEZ T, et al. Effects of corrective, therapeutic exercise techniques on adolescent idiopathic scoliosis: a systematic review[J]. Archiv Argentin De Pediatr, 2018, 116(4): e582-e589.
    [30]
    WU N, MING X, XIAO J, et al. TBX6 null variants and a common hypomorphic allele in congenital scoliosis[J]. N Engl J Med, 2015, 372(4): 341-350.
    [31]
    中华人民共和国国家教育委员会, 中华人民共和国卫生部. 学校卫生工作条例[EB/OL]. (1990-06-04)[2024-05-22]. http://www.moe.gov.cn/s78/A17/twys_left/moe_943/moe_793/tnull_9866.html.

    State Education Commission of the PRC, Ministry of Health of the PRC. Regulations of school health work[EB/OL]. (1990-06-04)[2024-05-22]. http://www.moe.gov.cn/s78/A17/twys_left/moe_943/moe_793/tnull_9866.html. (in Chinese)
    [32]
    LUK K D, LEE C F, CHEUNG K M, et al. Clinical effectiveness of school screening for adolescent idiopathic scoliosis: a large population-based retrospective cohort study[J]. Spine, 2010, 35(17): 1607-1614.
    [33]
    中华人民共和国卫生部. 儿童少年脊柱弯曲异常的初筛:

    GB/T 16133—1995[S]. 1995-12-21. Ministry of Health of the PRC. Primary screening for spinal curvature abnormalities in children and adolescents: GB/T 16133-1995[S]. 1995-12-21. (in Chinese)
    [34]
    国家疾病预防控制局. 儿童青少年脊柱弯曲异常的筛查:

    GB/T 16133—2014[S]. 2014-09-03. National Disease Control and Prevention Administration. Screening for abnormal spinal curvature in children and adolescents: GB/T 16133-2014[S]. 2014-09-03. (in Chinese)
    [35]
    中华人民共和国国务院. "健康中国2030"规划纲要[EB/OL]. (2016-10-30)[2024-05-22]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.

    State Council of the PRC. The outline of the Healthy China 2030 plan[EB/OL]. (2016-10-30)[2024-05-22]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm. (in Chinese)
    [36]
    中华人民共和国国务院办公厅关于印发中国防治慢性病中长期规划(2017—2025年)的通知[EB/OL]. (2017-02-14)[2024-04-01]. https://www.gov.cn/zhengce/zhengceku/2017-02/14/content_5167886.htm.

    Notice of the General Office of the State Council of the PRC on issuing and distributing China's medium and long-term plan for the prevention and treatment of chronic diseases (2017-2025)[EB/OL]. (2017-02-14)[2024-04-01]. https://www.gov.cn/zhengce/zhengceku/2017-02/14/content_5167886.htm. (in Chinese)
    [37]
    中华人民共和国国务院. 中国儿童发展纲要(2021—2030年)[EB/OL]. (2021-09-27)[2024-05-22]. https://www.pkulaw.com/chl/0fe9880c331fcc87bdfb.html.

    State Council of the PRC. The program for the development of Chinese children(2021-2030)[EB/OL]. (2021-09-27)[2024-05-22]. https://www.pkulaw.com/chl/0fe9880c331fcc87bdfb.html. (in Chinese)
    [38]
    中华人民共和国教育部. 全国学生体质健康监测网络工作实施方案[EB/OL]. (2003-11-11)[2024-05-22]. http://www.moe.gov.cn/jyb_xxgk/gk_gbgg/moe_0/moe_8/moe_25/tnull_285.html.

    Ministry of Education of the PRC. Work plan of national students' physical fitness and health monitoring network[EB/OL]. (2003-11-11)[2024-05-22]. http://www.moe.gov.cn/jyb_xxgk/gk_gbgg/moe_0/moe_8/moe_25/tnull_285.html. (in Chinese)
    [39]
    中华人民共和国国家卫生和计划生育委员会关于印发《国家基本公共卫生服务规范(第三版)》的通知[EB/OL]. (2017-03-28)[2024-05-22]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=d20c37e23e1f4c7db7b8e25f34473e1b.

    Circular of the National Health and Family Planning Commission of the PRC on the issuance of the National Norms for Basic Public Health Services (Third Edition)[EB/OL]. (2017-03-28)[2024-05-22]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=d20c37e23e1f4c7db7b8e25f34473e1b. (in Chinese)
    [40]
    中华人民共和国卫生部, 中华人民共和国教育部. 关于印发《中小学生健康体检管理办法》的通知[EB/OL]. (2008-06-27)[2024-05-22]. https://www.gov.cn/gongbao/content/2008/content_1175830.htm.

    Ministry of Health of the PRC, Ministry of Education of the PRC. Notice on the issuance of Measures for the Administration of Health Check-ups for Primary and Secondary School Students[EB/OL]. (2008-06-27)[2024-05-22]. https://www.gov.cn/gongbao/content/2008/content_1175830.htm. (in Chinese)
    [41]
    中华人民共和国国家卫生健康委员会. 关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL]. (2019-03-29)[2024-04-01]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml.

    National Health Commission of the PRC. Notice on the issuance of the work program on monitoring and intervention of common diseases and health influencing factors of national students in 2019[EB/OL]. (2019-03-29)[2024-04-01]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml. (in Chinese)
    [42]
    中华人民共和国国家卫生健康委员会, 中华人民共和国教育部. 中小学生健康体检管理办法[EB/OL]. (2021-09-30)[2024-05-22]. http://www.moe.gov.cn/s78/A17/twys_left/moe_943/moe_793/tnull_52366.html.

    National Health Commission of the PRC, Ministry of Education of the PRC. Measures for physical examination of primary and secondary school students[EB/OL]. (2021-09-30)[2024-05-22]. http://www.moe.gov.cn/s78/A17/twys_left/moe_943/moe_793/tnull_52366.html. (in Chinese)
    [43]
    中华人民共和国教育部等五部门关于全面加强和改进新时代学校卫生与健康教育工作的意见[EB/OL]. (2021-08-10)[2024-05-22]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202108/t20210824_553917.html.

    Opinions of the Ministry of Education and other four departments of the PRC on comprehensively strengthening and improving school health and health education in the new era[EB/OL]. (2021-08-10)[2024-05-22]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202108/t20210824_553917.html. (in Chinese)
    [44]
    中华医学会骨科学分会脊柱外科学组. 中国青少年脊柱侧凸筛查临床实践指南及路径指引[J]. 中华骨科杂志, 2020, 40(23): 1574-1582.

    Spinal Surgery Branch of the Chinese Orthopaedic Association. Adolescent scoliosis screening in China: clinical practice guideline and pathway[J]. Chin J Orthoped, 2020, 40(23): 1574-1582. (in Chinese)
    [45]
    中华预防医学会脊柱疾病预防与控制专业委员会. 儿童青少年特发性脊柱侧弯非手术治疗专家共识[EB/OL]. (2022-07-27)[2024-04-01]. http://www.guidelines-registry.cn/guid/1796?lang=zh_CN.

    Chinese Preventive Medical Association Spinal Disease Prevention and Control Professional Committee. Expert consensus on nonsurgical treatment of idiopathic scoliosis in children and adolescents[EB/OL]. (2022-07-27)[2024-04-01]. http://www.guidelines-registry.cn/guid/1796?lang=zh_CN. (in Chinese)
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