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Two different methodologies were used. In a first group(n. 5731: group A), the first clinical examination was per-formed by the school physicians. Doubtful cases werereferred by the physician to the Orthopaedic specialist. Ina second group (n. 3264: group B), the clinical examina-tion was directly performed by the orthopaedists. Eitherfor the first group or for the second, the specialist ascer-tained by X-rays the suspected scoliosis and deferred to a6 month control for the still doubtful cases. To evaluatethe lifetime attributable risk of cancer mortality, we havefollowed the ICRP 60. To calculate the social economicburde, we have assumed the present reimbursement to theHospitals by the National Health Service which is Euro 70for each examination.The statistic significance of the differences was assessed bythe z test for proportions.

Advantages of a two-step procedure for the screening of idiopatic scoliosis