Pubmed: Is Obstructive Sleep Apnea-Associated Adenoid Hypertrophy Linked to Scoliotic Attitudes in Children?
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Metrikler
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Abstract
Introduction
Scoliosis, a multifaceted spinal deformity commonly affecting pediatric and adolescent populations, has
spurred extensive scientific inquiry to understand its origins and impacts. Early-onset scoliosis (EOS),
characterized by spinal curvature exceeding 10° before the age of 10, presents a unique challenge
necessitating a comprehensive understanding of its etiological factors. Within this context, the potential
role of hypoxia-induced by adenoid hypertrophy in contributing to the pathogenesis of EOS has emerged as
an intriguing avenue of investigation.
Materials and methods
This retrospective study was conducted focusing on radiological and clinical data pertaining to children
below 10 years of age who underwent isolated adenoidectomy for adenoid hypertrophy. Preoperative
posteroanterior standing chest radiographs were utilized for scoliosis assessment, with Cobb angles serving
as the primary measurement metric. To ensure accuracy and reliability, Cobb angle measurements were
independently performed by two experienced observers. Statistical analyses encompassed the MannWhitney U test, Spearman correlation analysis, and intraclass correlation coefficient calculations to evaluate
interobserver agreement.
Results
Among the cohort of 218 pediatric adenoidectomy patients, 177 individuals had radiographs suitable for EOS
evaluation. The mean age of the participants was 5.72±2 years, with a nearly equal distribution of 52.5%
male and 47.5% female patients. Strikingly, the study identified a 10.2% prevalence of coronal plane
curvatures exceeding the critical threshold of 10°, indicative of EOS. The robust interobserver reliability was
demonstrated by a commendable mean interclass correlation coefficient (ICC) value of 0.926, affirming
consistent and accurate Cobb angle measurements between the observers.
Conclusion
In light of the heightened prevalence of EOS observed in children undergoing adenoidectomy, this study
provides a compelling impetus for exploring the potential interrelationship between adenoid hypertrophy,
hypoxia, and the emergence of early-onset scoliosis. The study underscores the importance of prospective
research to elucidate the complex mechanisms connecting these factors, offering insights into potential risk
factors and underlying pathogenic pathways associated with the development of early-onset scoliosis.
Date
2023
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Keywords
adenoidectomy, early onset scoliosis, obstructive sleep apnea, prevalence, scoliotic attitude