(Scheuermann’s disease)

The Scheuermann’s disease is an osteochondrosis, causing localized changes in the vertebral bodies, resulting in back pain and kyphosis.

The Scheuermann’s disease manifests itself in adolescence, with boys being more commonly affected. It probably represents a group of diseases with similar symptoms, the etiology and pathogenesis but are not known. The cause may be a osteochondrosis of the upper and lower cartilage plates of a vertebra or trauma. Some cases are familial.

The Scheuermann’s disease is an osteochondrosis, causing localized changes in the vertebral bodies, resulting in back pain and kyphosis. The Scheuermann’s disease manifests itself in adolescence, with boys being more commonly affected. It probably represents a group of diseases with similar symptoms, the etiology and pathogenesis but are not known. The cause may be a osteochondrosis of the upper and lower cartilage plates of a vertebra or trauma. Some cases are familial. Most patients present with a hunched back and possibly persistent low back pain. Some resemble a Marfan syndrome, the trunk and limbs lengths are not proportioned. The normal kyphosis is diffuse or strengthened in one place. Diagnostic x-ray Some cases are discovered during routine examinations (youth protection examination, medical check-ups). A lateral radiograph of the spine confirms the diagnosis and usually shows in the lower thoracic and upper lumbar region anterior wedging ? 5 ° of 3 or more consecutive vertebrae. Later, the cover plates are irregular and sclerotic. The spinal deformity is mainly kyphosis, but sometimes scoliotic shares are available. In an atypical course a generalized skeletal dysplasia means of X-ray examination must and when a clinical clue is a Spinaltuberkulose by magnetic resonance imaging or computed tomography be excluded. Treatment Reduction of heavy wear and strenuous activities more rare spinal brace or surgery The course is mild, but long and often takes several years (although the duration varies greatly). An insignificant spinal deformity often remains after the disease has stopped. Lightweight, non-progressive courses can be treated by reducing stress-generating weight and by avoiding strenuous activities. If the kyphosis is more pronounced, a brace or rest and sleep on a hard bed are sometimes indicated. With progressive curves surgical stabilization and correction of the spine deformity are necessary in rare cases.

Health Life Media Team

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