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Rinsho Hoshasen. Clinical Radiography Apr 1972
Topics: Adolescent; Female; Humans; Radiography; Scheuermann Disease
PubMed: 4672709
DOI: No ID Found -
Acta Bio-medica de L'Ateneo Parmense :... 1984The Authors discuss the juvenile kyphosis, a relatively frequent but neglected pathology. They consider the two significant clinical pictures: postural kyphosis and...
The Authors discuss the juvenile kyphosis, a relatively frequent but neglected pathology. They consider the two significant clinical pictures: postural kyphosis and Scheuermann disease with their clinical, radiographic and therapeutic aspects. In the first entity repeated controls, a correct bearing, physical training and sport are necessary. In the second the treatment is based on physiokinesitherapy and a modified Milwaukee brace for an average time of 21 months. Are considered in this paper 64 cases of Scheuermann disease treated between 1977 and 1982 by the Orthopedic Clinic of the University of Parma, with relative results, classified as positive.
Topics: Adolescent; Age Factors; Braces; Child; Exercise Therapy; Female; Humans; Kyphosis; Male; Posture; Scheuermann Disease
PubMed: 6234733
DOI: No ID Found -
Journal of Spinal Disorders & Techniques Jul 2009
Topics: Anthropometry; Child; Disability Evaluation; Humans; Kyphosis; Posture; Radiography; Radiology; Reference Values; Scheuermann Disease; Severity of Illness Index; Spinal Fusion; Thoracic Vertebrae; Treatment Outcome
PubMed: 19525784
DOI: 10.1097/BSD.0b013e31817dfcc3 -
American Journal of Medical Genetics May 2001Scheuermann disease [OMIM number 181440] is the most common cause of structural kyphosis in adolescence. Segregation analysis using a model with gender effects was...
Scheuermann disease [OMIM number 181440] is the most common cause of structural kyphosis in adolescence. Segregation analysis using a model with gender effects was applied to 90 pedigrees from Barnaul (West Siberia, Russia) ascertained through a proband with Scheuermann disease. The transmission probability model was used to detect major gene effect. A significant contribution of a major gene to the control of the pathology was established. Inheritance of the disease can be described within the framework of a dominant major gene diallele model. According to this model, Scheuermann disease should never occur in the absence of the mutant allele. All male carriers of the mutant allele develop the disease, while only a half of female carriers manifest it. We found a high frequency of idiopathic scoliosis in the families with Scheuermann disease (0.08 vs. 0.01-0.02 in general population). We also observed a succession of idiopathic scoliosis and Scheuermann disease in consecutive generations. The familial aggregation of these two spinal pathologies in the present sample may indicate a genetic unity of Scheuermann disease and idiopathic scoliosis.
Topics: Adolescent; Alleles; Chromosome Aberrations; Female; Genes, Dominant; Genetic Linkage; Humans; Male; Models, Genetic; Molecular Sequence Data; Mutation; Pedigree; Scheuermann Disease; Scoliosis; Sex Characteristics; Siberia; Statistics as Topic
PubMed: 11343318
DOI: 10.1002/ajmg.1290 -
Bone Dec 2018The aim was to assess the association of Scheuermann's disease (SCD) with fracture risk (vertebral, peripheral) and bone mineral density (BMD) in older men. SCD was...
The aim was to assess the association of Scheuermann's disease (SCD) with fracture risk (vertebral, peripheral) and bone mineral density (BMD) in older men. SCD was assessed on the baseline lateral spine radiographs using the Berlin criteria in 766 men aged 50-85. We evaluated the association of SCD and its diagnostic criteria with incident fracture (vertebral over 7.5 years, peripheral over 10 years) and BMD (baseline). SCD prevalence was 25.2%. SCD and its criteria showed inconsistent associations with BMD at different skeletal sites. Eighty-four men had incident fractures. After adjustment for age, weight, spine BMD, prevalent vertebral fractures, prior falls and score of disc space narrowing due to osteoarthritis (DSN-OA), SCD was not associated with vertebral fracture risk. Vertebral endplate irregularities (EI), one of its diagnostic criteria, were associated with higher vertebral fracture risk (OR = 3.26, 95% CI: 1.34-7.94, p < 0.01). Vertebral fracture risk was higher in men with EI and low spine BMD vs. men without these characteristics (OR = 12.84, 95% CI: 3.12-52.83, p < 0.005). EI was associated with higher vertebral fracture risk in men without severe DSN-OA and without prevalent vertebral fractures. Peripheral fracture risk was lower in men with SCD (HR = 0.39, 95% CI: 0.18-0.83, p < 0.02) and EI. Peripheral fracture risk was higher in men without SCD who had low femoral neck BMD vs. men with SCD and normal BMD (HR = 4.68, 95% CI: 1.09-20.03, p < 0.05). In conclusion, EI were associated with high vertebral fracture risk. SCD and EI were associated with lower peripheral fracture risk. The associations of SCD and its criteria with BMD were inconsistent.
Topics: Aged; Bone Density; Cohort Studies; Cross-Sectional Studies; Female; Fractures, Bone; Humans; Incidence; Male; Prevalence; Prognosis; Risk Factors; Scheuermann Disease; Spinal Fractures; Time Factors
PubMed: 30244156
DOI: 10.1016/j.bone.2018.09.016 -
Journal of Spinal Disorders & Techniques Oct 2012Retrospective study.
STUDY DESIGN
Retrospective study.
OBJECTIVES
To find out if spinal epidural lipomatosis (SEL) occurs more commonly among patients with Scheuermann disease than in the general population.
SUMMARY AND BACKGROUND
On the basis of our own radiologic and operative observation, SEL seems to occur frequently in patients with Scheuermann disease.
METHODS
Magnetic resonance imaging of 87 individuals (72% male, average age 19±6 y) from 2 centers (29 consecutive patients with Scheuermann disease and 58 controls) were retrospectively evaluated by 2 neuroradiologists. Spinal epidural fat (EF) at seventh thoracic vertebra (EF7), maximum EF (EFmax), dural sac diameter at T7 and at the level of maximum EF (DS7 and DSmax) were measured. EF ratios at T7 (EFR7) and at maximum EF (EFRmax) were calculated as EF/DS. Body mass index (BMI) for study population and kyphosis severity for the patients were recorded. Mann-Whitney, Spearman correlation, and χ tests were performed dependent on the variable in question.
RESULTS
EF7, DS7, EFmax, EFR7, and EFRmax was significantly higher among patients with Scheuermann disease (EFmax 5.7±2.4 mm) than among controls (EFmax 3.8±1.1 mm), P<0.001. Twelve patients with Scheuermann disease (41%) fulfilled our proposed criteria for the diagnosis of SEL (EFmax>6 mm+EFRmax>0.51) compared with 2 (3%) among controls (P<0.001). Patients with Scheuermann disease exhibited higher BMI than controls (24.9±5 kg/m vs. 22.9±4 kg/m, P=0.138). Logistic regression showed that the occurrence of SEL among patients with Scheuermann disease was independent of BMI (P=0.880). The degree of kyphosis in patients with Scheuermann's disease (62±20°) was correlated to the amount of the EF.
CONCLUSIONS
As SEL occurs more frequently among patients with Scheuermann disease, spine magnetic resonance imaging should be routinely performed to screen each of these patients to avoid impending neurological injury during surgery, especially in those exhibiting SEL.
Topics: Adolescent; Adult; Epidural Space; Female; Humans; Lipomatosis; Magnetic Resonance Imaging; Male; Retrospective Studies; Scheuermann Disease; Thoracic Vertebrae
PubMed: 21705916
DOI: 10.1097/BSD.0b013e31822631d3 -
Revista Espanola de Cirugia Ortopedica... 2012Scheuermann kyphosis is a structural deformity of the thoracic or thoracolumbar spine that develops prior to puberty and deteriorates during adolescence. There is... (Review)
Review
Scheuermann kyphosis is a structural deformity of the thoracic or thoracolumbar spine that develops prior to puberty and deteriorates during adolescence. There is limited information on its natural history but many patients are expected to have a benign course. Severe kyphosis can progress into adult life and cause significant deformity and debilitating back pain. Conservative treatment includes bracing and physical therapy, but although widely prescribed they have not been scientifically validated. Surgical treatment may be considered in the presence of a progressive kyphosis producing severe pain resistant to conservative measures, neurological compromise, or unacceptable deformity. This is associated with significant risks of major complications that should be discussed with the patients and their families. Modern techniques allow better correction of the deformity through posterior-only surgery with lower complication rates. Simultaneous shortening of the posterior vertebral column across the apical levels, along with spinal cord monitoring, reduces the risk of neurological deficits.
Topics: Biomechanical Phenomena; Diagnosis, Differential; Humans; Orthopedic Procedures; Orthotic Devices; Physical Therapy Modalities; Scheuermann Disease
PubMed: 23594948
DOI: 10.1016/j.recot.2012.07.002 -
Joint Bone Spine May 2017Neurological complications in Scheuermann's disease are rare but serious.
BACKGROUND
Neurological complications in Scheuermann's disease are rare but serious.
CASE REPORTS
We report three cases of severe neurological deficit due to medullar ischemia attributable to the compression of a radiculomedullar artery by thoracic (two cases) and lumbar (one case) disc herniations associated with Scheuermann's disease. They were not treated surgically because of the absence of direct spinal cord compression or definitive spinal cord ischemia. Those young patients still have severe neurological damage. An earlier management could have prevented them.
CONCLUSION
When doubting about any compressive sign, MRI should be performed with diffusion weighted imaging (DWI) and apparent diffusion coefficient (ADC) sequences in emergency.
Topics: Adult; Female; Humans; Middle Aged; Magnetic Resonance Imaging; Scheuermann Disease; Spinal Cord Ischemia; Male
PubMed: 28131733
DOI: 10.1016/j.jbspin.2016.10.007 -
Journal of the American Academy of... Mar 2024Scheuermann kyphosis can be treated surgically to restore proper sagittal alignment. Thoracic curves >70° are typically indicated for surgical intervention. However,...
Scheuermann kyphosis can be treated surgically to restore proper sagittal alignment. Thoracic curves >70° are typically indicated for surgical intervention. However, patients who have reached their natural limit of compensatory lumbar hyperlordosis are at risk of accelerated degeneration. This can be determined by comparing lumbar lordosis on standing neutral radiographs and supine extension radiographs. Minimal additional lordosis in extension compared with neutral, abutment of the spinous processes, or greater lumbar lordosis standing than with attempted extension suggest the patient is maximally compensated. We present a case of an adolescent boy with Scheuermann kyphosis who had reached the limit of his hyperlordosis compensation reserve. He subsequently underwent a T4 to L2 posterior spinal fusion with T7 to T11 Ponte Smith-Petersen grade two osteotomies. He tolerated the procedure well with no intraoperative complications or neuromonitoring changes. The patient has continued to do well and progressed to normal activity at 5-month follow-up.
Topics: Adolescent; Male; Animals; Humans; Scheuermann Disease; Lordosis; Intraoperative Complications; Osteotomy; Spinal Fusion
PubMed: 38441155
DOI: 10.5435/JAAOSGlobal-D-23-00187 -
Versicherungsmedizin Aug 1996The Scheuermanns disease is an illness of which the fluoride stage is described as a disorder in growth of the vertebral-intervertebral disk borderline. This stage of...
The Scheuermanns disease is an illness of which the fluoride stage is described as a disorder in growth of the vertebral-intervertebral disk borderline. This stage of the illness ends with the finish of bone growth. Depending on the advanced alterations of the spinal column segments or of the statics of the spinal column up to that point, in later stages of life there will be a higher rate of diskopathies of the lumbar vertebrae and later on of the cervical vertebrae where it often causes arthrosis of the swivel joints. I.e. Morbus Scheuermann is a predisposition for the beginning of diskopathies and has to be added to the differential diagnostic investigation considerations for the examination of causality of the occupation diseases subparagraph 2108 to 2110. We find it justified that the Scheuermanns disease has to be included into the accompanying leaflet as a relevant pre-illness. The thorakal as well as the lumbarthorakal or lumbar manifestation has to be a competitive cause of vocational connection brought under discussion. That is the reason why all the more a preference of the expected segments is required as far as an essential partial cause with a vocational influence with the judgement is discussed. The same also applies to the judgement in a sense of deterioration.
Topics: Eligibility Determination; Expert Testimony; Germany; Humans; Intervertebral Disc Displacement; Occupational Diseases; Risk Factors; Scheuermann Disease; Workers' Compensation
PubMed: 8966849
DOI: No ID Found