Hypermobility Among Adolescents and the Association With Spinal Deformities: A Large Cross-Sectional Study

Introduction:Adolescent idiopathic scoliosis and Scheuermann kyphosis are common spinal deformities (SD) among adolescents. The potential link between hypermobility and SD is a topic of debate. We aimed to investigate the prevalence of hypermobility and its association with SD.Methods:A cross-sectio...

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Published inJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews Vol. 8; no. 7
Main Authors Hershkovich, Oded, Gordon, Barak, Derazne, Estela, Tzur, Dorit, Afek, Arnon, Lotan, Raphael
Format Journal Article
LanguageEnglish
Published Philadelphia, PA Wolters Kluwer 01.07.2024
Subjects
Adolescent
Cross-Sectional Studies
Female
Humans
Joint Instability - epidemiology
Male
Prevalence
Scheuermann Disease - epidemiology
Scoliosis - epidemiology
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ISSN2474-7661
2474-7661
DOI10.5435/JAAOSGlobal-D-24-00047

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Summary:Introduction:Adolescent idiopathic scoliosis and Scheuermann kyphosis are common spinal deformities (SD) among adolescents. The potential link between hypermobility and SD is a topic of debate. We aimed to investigate the prevalence of hypermobility and its association with SD.Methods:A cross-sectional analysis of records of 17-year-old subjects who were recruited into mandatory military service was conducted. Study population comprised 1,220,073 subjects. Prevalence rates were calculated for hypermobility and different categories of SD by severity, studying the strength of the association between hypermobility and SD.Results:Of 1,220,073 subjects, 0.0111% exhibited hypermobility. Spinal deformities were identified in 10.5% of subjects. Specifically, 7.9% had mild SD, 2.4% had moderate SD, and 0.1% had severe SD. The overall association between hypermobility and SD showed an odds ratio of 2.31 (P < 0.001). Subgroup analyses revealed ORs of 1.226 (P = 0.041) for mild deformities, 5.783 (P < 0.001) for moderate deformities, and 4.01 (P = 0.002) for severe deformities. The association was stronger for moderate and severe SD.Conclusions:This study establishes a notable association between hypermobility and SD among adolescents. The findings highlight the importance of understanding this relationship, which could contribute to advancements in comprehending SD development. Additional research is warranted to expand upon these findings.
Bibliography:Correspondence to: Dr. Hershkovich: oded.hershkovich@gmail.comNone of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Hershkovich, Dr. Gordon, Derazne, Tzur, Dr. Afek, and Dr. Lotan.IDF IRB committee ethical approved IRB, Tel Aviv, Israel.Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf (available on request from the corresponding author) and declare no conflict of interest.Ethical approval: The institutional review board of IDF approved this study.Transparency declaration: The lead author (the manuscript's guarantor) affirms that the manuscript is an honest, accurate, and transparent account of the study being reported, that no important aspects of the study have been omitted, and that any discrepancies from the study as planned (and, if relevant, registered) have been explained.All authors were involved in the study design, data analysis, and manuscript revision. All authors read and approved the final manuscript. OH is the guarantor.
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ISSN:2474-7661
2474-7661
DOI:10.5435/JAAOSGlobal-D-24-00047