Scheuermann disease(redirected from adolescent round back)
Scheu·er·mann dis·ease(shoy'ĕr-mahn), [MIM*181440]
Scheu·er·mann dis·ease(shoy'ĕr-mahn di-zēz')
Synonym(s): juvenile kyphosis.
About 50% of patients complain of back pain in the affected area; others complain of poor posture or fatigue. There are usually no neurological symptoms unless cord compression occurs.
The diagnosis is usually made from clinical presentation and the results of a standing x-ray examination of the spine.
Symptomatic treatment may include nonsteroidal anti-inflammatory drugs, rest, and activity modification. Plaster casts and braces (including the Milwaukee brace) are used to correct the deformity and are usually successful if the child has not stopped growing. Operative treatment is reserved for those with a significant deformity and those who have stopped growing.