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Abstract Objective To explore the results and clinical significance of prevention and treatment network had exerted to integrated control for adolescent scoliosis.Methods From June 1997 to June 1998，18 329 students between 7 to 15 years old in 26 primary and junior middle schools were checked for scoliosis with three steps，and we established prevention and treatment network for adolescent scoliosis which consists of hospital，school and family.We establish archives for those with positive results，and then add them to adolescent scoliosis dynamic database.According to Cobb angle，underwent scoliosis knowledge learning，gymnastics，traction，braces，surgery and other treatment methods，and strictly followed-up.Results A total of 594 cases were investigated since 1997，and 533 cases were followed up，with 61 cases missed.The children whose Cobb’s angle ≥5° were separated into four groups：5°≤Cobb’s angle＜10°，10°≤Cobb’s angle＜20°，20°≤Cobb’s angle＜40°，Cobb’s angle≥40°，and then were treated with scoliosis knowledge learning，gymnastics，traction，braces or surgery respectively.This management strategy was named to step treatments.The rates of the worse of disease were 2.60％，6.55％ and 5.43％ in former three groups respectively.The last group underwent operations and achieved satisfactory results.Conclusion Prevention and treatment network for adolescent scoliosis can control the progression of scoliosis effectively.
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