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Scoliosis Screening in Public Schools in Antananarivo

Ruth P Randrianasolo, Salohy B Randrianarivelo, Gaëtan D Solofomalala

2026enscoliosisschool screeningadolescentsearly diagnosispublic healthMadagascar

Abstract

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Background: Scoliosis affects the growing spine, making regular monitoring and early detection essential. Objective: To establish initial reference data on scoliosis in public-school students in Antananarivo and to raise awareness of the importance of systematic, early, school-based screening given its potential progression and long-term consequences. Methods: A descriptive and analytical multicenter cross-sectional study was conducted in public schools in the districts of Antananarivo Renivohitra and Ambohidratrimo, using stratified cluster sampling; screening was purely clinical, without radiographic confirmation. Results: Among 780 students, 10.25% (N=80) screened positive for suspected scoliosis. Cases were more frequent in Antananarivo Renivohitra (52; 65%) than in Ambohidratrimo (28; 35%) (adjusted OR 2.3; 95% CI 1.4–3.9; P=0.001). Adolescent scoliosis was predominant (79; 98.75%), with a female predominance (sex ratio = 0.63). Back pain was reported in 10.13% and was associated with higher odds of a positive screen (aOR 2.1; 95% CI 1.1–3.8; P=0.02). Late pubertal stages were frequent (26.92% at Tanner stage IV), and Tanner stage V was associated with an 18-fold increase in odds compared with stage I (aOR 18.4; 95% CI 5.2–65.0; P<0.001). The most common curve pattern was right thoracic (34.28%). Conclusions: Adolescent scoliosis was the most frequently screened form, mainly affecting students in pubertal stages and showing geographical variability between districts. These findings underscore the importance and feasibility of early, school-based scoliosis detection to identify at-risk students before severe spinal deformities develop, particularly in a setting where conservative treatments such as physical therapy and bracing are available. Ethical compliance: Screening was conducted as routine medical check-ups in accordance with local legislation and institutional requirements, with written informed consent from participants and their parents or legal guardians; formal ethical approval was not required.

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Cite This Work

@article{bb39a968-a855-41be-bc4c-4af1baf61768,
  title={Scoliosis Screening in Public Schools in Antananarivo  },
  author={Ruth P Randrianasolo and Salohy B Randrianarivelo and Gaëtan D Solofomalala},
  year={2026},
  language={en}
}
TY  - JOUR
TI  - Scoliosis Screening in Public Schools in Antananarivo  
AU  - Ruth P Randrianasolo
AU  - Salohy B Randrianarivelo
AU  - Gaëtan D Solofomalala
PY  - 2026
LA  - en
ER  -

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