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Scheuermann's kyphosis

fracture index
 

Scheuermann's kyphosis is named after the Danish radiologist who first described the condition. Like postural kyphosis, it often becomes apparent during the teen years. However, Scheuermann's kyphosis will present with a significantly worse cosmetic deformity. This is particularly the case in thin individuals. Scheuermann's kyphosis usually affects the upper (thoracic) spine. It can also occur in the lower (lumbar) back area. If pain is present, it is usually felt at the apex of the curve. Activity can aggravate the pain. So can long periods of standing or sitting. Exercises and anti-inflammatory medication help ease the discomfort. When X-rays are examined, the vertebrae and disks will appear normal in postural kyphosis. But they are irregular and wedge-shaped in Scheuermann's kyphosis.

Description of Scheuermann's kyphosis

Scheuermann's kyphosis describes a condition where the vertebrae grow unevenly; that is, the anterior angle is often greater than the posterior. This typically results in the signature "wedging" shape of the vertebrae, resulting in kyphosis. Cosmetically, the disease can range from mild to a severe life-threatening deformity. While there is still much mystery surrounding the condition, there are a few key elements that are of particular interest to researchers. The disease appears to be multifactoral, but many agree there is a genetic component. Patients with the condition are often taller than others of similar age. In addition, they may often have a resulting lordosis in the lumbar spine which is greater than normal. Often patients have tight hamstrings. In addition, it has been suggested that between 20-30% of patients with Scheuermann's Disease also have scoliosis. In more serious cases, the combination is sometimes known as kyphoscoliosis.

Who is effected by Scheuermann's kyphosis

It has been suggested that between 3-6% of the general population could be classified as having Scheuermann's kyphosis. In most people it will show up as a mild 'hunch' in the upper back and with many people is hard to notice. However, in more moderate cases, some people may experience back pain and back fatigue ranging from mild to severe. In severe cases, heart and lung function can be impaired. This usually warrants surgery (see below). Neurological problems are typically not associated with Scheuermann's disease, as they are extremely rare.

Diagnosis of Scheuermann's kyphosis

How to diagnose, treat, and monitor Scheuermann's kyphosis remains a topic of much debate among doctors, surgeons, and medical researchers. Typically the condition can be treated with bracing, physical therapy, and/or surgical procedures involving spinal fusion.