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Scheuermann’s Disease

Saturday, July 21st 2012. | Bone Health, Disease

Scheuermann’s Disease Definition

Scheuermann’s disease is a progressive kyphosis at the thoracic spine associated with growth. During puberty, growth disorders often occur in the vertebral bodies, accompanied by a narrowing of the intervertebral disk area, wedge-shaped vertebrae and pronounced kyphosis. To compensate, hyperlordosis will often form at the lumbar spine.

Scheuermann’s disease is a major disease of the vertebrae. It is more common in boys than in girls.

The evolution of the disease ceases at the end of growth, but injuries caused in the cartilage and vertebrae remain and are irreversible. Bad posture and the limited space between the vertebral bodies causing considerable pain and problems in adulthood.

Scheuermann’s Disease Causes

Scheuermann’s disease has several causes are influencing and reinforcing each other. We distinguish between internal factors (endogenous) and external factors (exogenous):

  • Growth disorders between the eleventh and the seventeenth year: during this period, the spine is particularly prone to developmental disorders. The vertebral bodies are growing larger at the rear than the front, thus strengthening the curvature of the thoracic spine. Furthermore, residues of the intervertebral disc are deposited in the intervertebral body, reducing the intervertebral disc space. Overloading of the spine straight and small intervertebral joints causes pain in the back.
  • Overload: excessive load due to a stooped posture.
Scheuermann s Disease

Scheuermann’s Disease

Scheuermann’s Disease Symptoms

  • At first, Scheuermann’s disease is not painful. This sometimes by limitations in mobility and physical fatigue faster.
  • Subsequently, a hyperlordosis develops in the thoracic spine. To compensate, the lumbar spine to arch. At this stage, the pain is more common and resistance is increasingly reduced. Often, the back muscles are tense.
  • The last stage is characterized by the deformation of the spine, excessive loads of wear and damage. Severe pain occur.

However, the sharp bends on radiographs are not necessarily accompanied by pain or mobility limitations increased. Curvatures lighter and less problematic postures sometimes cause more severe pain.

Scheuermann’s Disease Diagnosis

  • History with consideration of symptoms: the diagnosis can be made given the stooped posture of the subject.
  • Radiographs of the spine can put definitive diagnosis.
  • Laboratory tests to exclude any other disease (including rheumatic disease).

Scheuermann’s Disease Treatment Options

The goal of treatment is to relieve the spinal column and thus reduce pain and improve posture.

Scheuermann’s Disease General measures

  • Adaptation of the profession (reorientation, not sit back bent for hours)
  • Adaptation of the sports, the sports listed are those for which there are no shocks, jumps, blows or falls (swimming, gymnastics, power walking, rowing, weightlifting, etc..)
  • Adapting the work environment (chairs, tables, office floors)

Scheuermann’s Disease Conservative measures (without surgery)

If growth is not completed, the active and targeted muscle belly and back can straighten and stretch the kyphosis. However, this measure is only effective before the end of growth. More passive treatment involves wearing a brace or support specific plaster to straighten the spine. In adults, muscular stabilization is in the foreground.

Scheuermann’s Disease Other measures that may be helpful:

  • Physiotherapy
  • Gymnastics
  • Physical therapy (ultrasound, infrared, electro)
  • Massages
  • Occupational therapy (mainly, adaptation to the work environment)
  • Avoid excess weight with the help of a nutritionist

Scheuermann’s Disease surgery

Straightening of the spine surgery is indicated only in extreme cases (curvature greater than 70 °) and in the presence of severe pain resistant to conservative treatment.

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