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SCHOOL SCOLIOSIS SCREENING PROGRAMME

(SSSP)

Early Detection. Timely Care. Healthier Spines for Children.

The School Scoliosis Screening Programme (SSSP) by The Spine Foundation is a preventive public health initiative designed to identify spinal deformities in children at an early stage, enabling timely intervention and better long-term outcomes.

By partnering with schools, teachers, and families, the programme aims to build awareness, ensure early referrals, and protect the spinal health of children during their most critical growth years.

Understanding Spinal Deformities

What is Scoliosis?

Scoliosis is a sideways (lateral) curvature of the spine with a Cobb’s angle greater than 10 degrees. If undetected, it can progress silently during growth spurts.

What is Kyphosis?

Kyphosis refers to an excessive forward rounding of the back, causing abnormal curvature in the antero-posterior direction.

Both conditions are common in growing children and adolescents and often go unnoticed without structured screening.

Objectives of the Programme

The School Scoliosis Screening Programme is built around four core goals:

  • Early identification of spinal deformities in school-going children

  • Prevention of progression through timely intervention

  • Awareness and sensitisation of families and school communities

  • Improvement of overall spinal health and long-term well-being

Who Is Screened?

Children aged 6 to 16 years, studying from 1st to 10th standard, are included in the screening programme.

Screening Process

Who Conducts the Screening?
Screening is carried out by school teachers who are trained as part of the programme.

How Screening Is Done

  • Visual inspection of the spine

  • Adam’s forward bending test

  • Use of a scoliometer

Treatment Approach

Exercise

Exercises do not affect curve progression but are used to maintain muscle tone.

Bracing

Bracing is advised for children with a Cobb’s angle between 20 and 40 degrees.

Operative Treatment

Surgical treatment is considered for curves with a Cobb’s angle greater than 40–50 degrees.

Types of surgery include:

  • Harrington system
  • Hartshill instrumentation with sublaminar wiring
  • Anterior and posterior instrumentation with pedicle screws

Programme Implementation

  • A municipal school was identified near the RSCC Centre at V. N. Desai Hospital

  • Teachers were educated about scoliosis and the need for screening

  • Training sessions were conducted on identifying spinal deformities and using the scoliometer

  • Students with suspected deformities were examined by spine surgeons from The Spine Foundation

  • Further imaging investigations were carried out where required

Teacher Training

Training sessions were conducted to educate teachers on:

  • Identifying spinal deformities

  • Conducting screening

  • Using the scoliometer correctly

Screening in Progress

School-based screening was carried out as part of the programme.

Results

Results of the screening programme were documented.

SNO Name of the school Boys Girls Total screened Children with suspected deformity

1

Mumbai Public School, Santacruz East
461
508
969
None

2

Mumbai Public School, Kalina
155
139
294
None

3

Mumbai Public School, Shastri Nagar
793
807
1546
None

Total
1409
1454
2863
None