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July 6, 1979

Chest Roentgenograms and Scoliosis

Author Affiliations

State University of New York Upstate Medical Center Syracuse

JAMA. 1979;242(1):25-26. doi:10.1001/jama.1979.03300010017008

To the Editor.—  I am greatly disappointed to note a major omission in the report by Bonebrake et al (240:2747, 1978) on abnormal findings in "Routine Chest Roentgenography in Pregnancy." No mention is made of the incidence of scoliosis in these patients.In a similar study reported by Strayer1 in nearly 1,000 postpartum women, 5.0% were noted to have scoliosis greater than 10°, and 2.0% were noted to have scoliosis greater than 20°. In the first large-scale roentgenographic survey for scoliosis, Shands and Eisberg2 reviewed 50,000 routine chest films done for tuberculosis screening and noted an incidence of 1.9% curvatures greater than 10° and 0.5% greater than 20°. Bruszewski and Kamza3 reviewed 15,000 serial chest roentgenograms and noted an incidence of scoliosis of 3.7%.It is inconceivable in light of these and numerous other reports that one could review 11,725 chest films in a female population and not