Scheuermann's disease


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Scheuermann's disease

 [shoi´er-manz]
osteochondrosis of the vertebral epiphyses in juveniles.

Scheuermann's disease

[shoi′ərmonz]
Etymology: Holger W. Scheuermann, Danish surgeon, 1877-1960
an abnormal skeletal condition characterized by a fixed kyphosis that develops at puberty and is caused by wedge-shaped deformities of one or several vertebrae. The cause of the disease is unknown, but authorities have speculated that it may result from infection, inflammatory processes, aseptic necrosis, disk deterioration, mechanical influences, inadequate circulation during rapid growth, or disturbances of epiphyseal growth caused by protrusion of the intervertebral disk through deficient or defective cartilaginous plates. The most striking pathological feature of Scheuermann's disease is the presence of wedge-shaped vertebral bodies, seen on radiographic examination, that create an excessive curvature. Scheuermann's disease occurs most frequently in children between 12 and 16 years of age, with the onset at puberty, and the incidence is greater in girls than in boys. The onset is insidious and often associated with a history of unusual physical activity or participation in sports. The most frequent symptom is poor posture, with accompanying symptoms of fatigue and pain in the involved area. Tenderness and stiffness may also affect the area involved or the entire spinal column. In most affected individuals the kyphosis is within the thoracic vertebrae. If the disease is diagnosed at the onset, the associated posture may be corrected actively and passively. Otherwise, the associated posture becomes fixed within a period of 6 to 9 months. The most effective treatment of Scheuermann's disease is immobilization with a plaster cast or with a Milwaukee brace. The immobilization is continuous for 10 to 12 months, with additional immobilization at night for about the same length of time. Immobilization is usually supplemented with an exercise program that is continued after the immobilization is terminated. In adults persistent pain in the thoracic area may indicate a degenerative alteration secondary to this disease process, and spinal arthrodesis may be required to relieve the symptoms. Also called adolescent vertebral epiphysitis, juvenile kyphosis.

Scheuermann's disease

Juvenile kyphosis due to damaged bone in the spinal vertebrae.
Mentioned in: Kyphosis
Scheuermann's disease; osteochondritis deformans juvenilis dorsi aseptic necrosis of a vertebral body
References in periodicals archive ?
George suffers from a mild form of Scheuermann's disease which can cause curvature of the spine but his doctors gave him the all-clear for the tour.
Then, after suffering from chronic back pain, Kathleen was told she was suffering from Scheuermann's disease.
Similar radiographic lesions of localized Scheuermann's disease of the lumbar spine in twin sisters.
The 33-year-old, who suffers with a number of chronic back complaints including Scheuermann's disease, sciatica and curvature of the spine, was in the Corner House in Middlesbrough on February 15 when he fell and hurt his back.
He's had to overcome the physical effects of Scheuermann's disease, a curvature of the spine that tilts his back towards his right shoulder.