JÜVENİL İDİYOPATİK ARTRİTLİ ÇOCUKLARDA SKOLYOZ YAYGIN BİR DEFORMİTE MİDİR?

Öz

Amaç: Juvenil İdiyopatik Artrit (JİA), çocukluk çağında en sık görülen kronik romatizmal hastalıktır. JİA eklem tutulumu ile birlikte omurganın asimetrisini etkilediği için JİA'lı çocuklarda skolyoz ortaya çıkabilir. Bu çalışma, JİA’lı çocuklarda omurga taramasını ve sağlıklı kontrollerle karşılaştırmayı ve ebevynlerin bu konudaki farkındalığını değerlendirmeyi amaçlamaktadır. Yöntem: Bu çalışmaya 4-16 yaş arası 218 JİA'lı çocuk (163 kız, 55 erkek) ve 144 sağlıklı kontrol (124 kız, 20 erkek) dahil edildi. Gövde rotasyon açısı, öne eğilme testi uygulanarak bir skolyometre ile ölçüldü. Gövde rotasyon açısı 5˚'den fazla olan çocuklar ortopedist tarafından röntgene yönlendirildi. Ebeveynlerden demografik veri toplamak ve skolyoz farkındalıklarını değerlendirmek için ebeveynler için hazırlanan formlar kullanıldı. Tüm analizlerde Statistical Package for Sciences (SPSS)-24.0 programı kullanıldı. p<0,05 anlamlı olarak kabul edildi. Bulgular: Omurga dışındaki eklemleri etkilenen JİA'lı 218 çocuğun 35'inde (%16,1) skolyoz görüldü. 183 ebeveyn çalışmadan önce skolyozu hiç duymadığını bildirdi. Taramadan önce aileleri skolyozu duymayan 183 çocuğun 25'inde skolyoz görülürken, skolyozu duyan ailelerde 34 çocuktan 10'ununa skolyoz tanısı konuldu. Tartışma: JİA'lı çocukların ebeveynleri sadece eklem ve ekstremitelere değil, omurga ve vücuttaki asimetrilere de dikkat etmelidir. Bununla birlikte, sadece etkilenen eklemi değerlendirmek yerine, JİA'lı çocuklar omurga da dahil olmak üzere kapsamlı bir şekilde değerlendirmelidir. Bu konuda ailelelerin skolyoz hakkındaki farkındalığı büyük önem taşımaktadır.

Anahtar Kelimeler

• farkındalık
• deformite
• jüvenil idiyopatik artrit
• skolyoz
• omurga

IS SCOLIOSIS A COMMON DEFORMITY IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS?

Abstract

Purpose: Juvenile Idiopathic Arthritis (JIA) is the most common chronic rheumatic disease in childhood. Scoliosis can occur in children with JIA, since it mainly affects joint involvement, and contributes to the asymmetry of body and spine. This study aims to screen scoliosis in JIA, compare it with healthy controls, and evaluate the awareness among parents of children. Methods: 218 children with JIA (163 girls, 55 boys) and 144 healthy controls (124 girls, 20 boys) aged 4-16 years were involved in this study. Angle of Trunk rotation (ATR) was measured by a scoliometer by applying a forward bending test. Children with more than 5˚ ATR were referred to take X-ray. To collect demographic data from parents and assess their awareness of scoliosis, forms designed for parents were used. Results: Scoliosis was seen in 35 of the 218 (16.1%) children with JIA whose joints other than the spine were affected. 183 parents reported that they had never heard of scoliosis before the study. Scoliosis was seen in 25 children of the 183 children whose families had not heard of scoliosis before the examination. In families who had heard of scoliosis before the study, scoliosis was diagnosed in 10 of the 34 children. Conclusion: Parents of children with JIA should pay attention not only to joints and extremities but also to the spine and asymmetries in the body. However, instead of just assessing the affected joint, professionals should evaluate children with JIA comprehensively, including the spine.

Keywords

• scoliosis
• deformity
• awareness
• juvenile idiopathic arthritis
• spine

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