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ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Influence of socioeconomic deprivation and geographic disparities in the management of surgical adolescent idiopathic scoliosis: a multicentric retrospective cohort in Northern France.

Benoit Kipper, Julien Rod, Damien Fron, Eric Nectoux, Richard Gouron, Francois Deroussen, Isabelle Bernardini, Mathilde Payen, Francois Luc, Joel Lechevallier and 6 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Benoit KipperDepartment of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France.
Julien RodDepartment of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France.
Damien FronDepartment of Pediatric Surgery, University Hospital of Lille, Lille Cedex, France.
Eric NectouxDepartment of Pediatric Surgery, University Hospital of Lille, Lille Cedex, France.
Richard GouronDepartment of Pediatric Surgery, University Hospital of Amiens, Amiens Cedex, France.
Francois DeroussenDepartment of Pediatric Surgery, University Hospital of Amiens, Amiens Cedex, France.
Isabelle BernardiniDepartement of Pediatric Surgery, University Hospital of Rouen, Rouen Cedex, France.
Mathilde PayenDepartement of Pediatric Surgery, University Hospital of Rouen, Rouen Cedex, France.
Francois LucDepartement of Pediatric Surgery, University Hospital of Rouen, Rouen Cedex, France.
Joel LechevallierDepartement of Pediatric Surgery, University Hospital of Rouen, Rouen Cedex, France.
Antoine LaquievreDepartment of Pediatric Surgery, University Hospital of Caen, avenue de la cote de Nacre, 14033, Caen Cedex 9, France.
Corinne BronfenDepartment of Pediatric Surgery, University Hospital of Caen, avenue de la cote de Nacre, 14033, Caen Cedex 9, France.
Thierry LobbedezDepartment of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France.
Arnaud AlvesDepartment of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France.
Olivier DejardinDepartment of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France.
Nathan DoletDepartment of Research, UMR INSERM 1086 "ANTICIPE", University of Normandie, University Hospital of Caen, Caen Cedex, France. nathan_dolet@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFew data are available in the literature in Europe on the possible impact of social health inequalities on the therapeutic management of idiopathic scoliosis. This study aimed to determine whether the adolescent's care pathway in the French health system, affected by idiopathic scoliosis, from the stage of diagnosis to the postoperative stage, could be influenced by socio-economic deprivation.

methodsThis retrospective, multicenter study analyzed 883 patients with surgery for adolescent idiopathic scoliosis between 2009 and 2019. The main clinical outcomes were the Cobb angle at first specialist consultation, brace compliance, the Cobb angle at surgery indication, the time to surgery, postoperative correction, and complications. A multiple linear regression model and multiple logistic regression model were performed to analyze the main outcomes according to the European Deprivation Index (EDI) and Scale Index.

resultsWith the exception of Cobb's angle at the first consultation (OR = 1.03 [1.01-1.04]) and on postoperative correction (OR = 0.997 [0.995-0.999]) socio-economic deprivation did not significantly influence the course of care of the adolescent operated on with idiopathic scoliosis.

conclusionThis study suggested the restricted influence of social deprivation on the management of surgical adolescent idiopathic scoliosis in the French health system. It seems that deprivation occurs only before special therapeutic management, strengthening the importance of systematic screening. Further studies are needed to assess the impact of different socioeconomic factors on this pathology.

Indexed as

Healthcare DisparitiesScoliosisAdolescentFemaleFranceHumansLow Socioeconomic StatusMaleRetrospective StudiesSocioeconomic Disparities in HealthSocioeconomic FactorsTreatment OutcomeAdolescent idiopathic scoliosis (AIS)Cobb angleEuropean deprivation indexScale indexSocial inequalitySocioeconomic factors

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.