Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr;51(4):339-348.
doi: 10.1007/s00132-022-04239-4. Epub 2022 Mar 15.

[Scheuermann's disease]

[Article in German]
Panagiotis Diaremes  1 , Sebastian Braun  2 , Andrea Meurer  2
Affiliations

[Scheuermann's disease]

[Article in German]
Panagiotis Diaremes et al. Orthopade. 2022 Apr.

Abstract
in English, German

Scheuermann's disease represents the second most common deformity of the growing spine after the various forms of scoliosis. In cases of early diagnosis and mild kyphotic deformity conservative treatment with a brace and physiotherapy shows very good results; however, in cases of neurologic deficits, curve progression despite conservative treatment and increasing pain symptoms with a Stagnara angle of more than 70-75°, surgical treatment is meaningful. The surgical strategy can include posterior spondylodesis with prior anterior release or posterior instrumentation with posterior column osteotomy depending on the surgeon's experience. The choice of the extent of the operation with the vertebrae to be instrumented and including the straightening method should be oriented to the avoidance of complications, such as proximal or distal junctional kyphosis.

Der Morbus Scheuermann stellt die zweithäufigste Deformität der wachsenden Wirbelsäule nach den verschiedenen Skolioseformen dar. Bei früher Diagnosestellung und bei moderater kyphotischer Fehlstellung zeigt die konservative Therapie mit Reklinationsorthese und Physiotherapie sehr gute Ergebnisse. Jedoch ist bei neurologischen Ausfällen, Progredienz der Deformität trotz Therapie und zunehmender Schmerzsymptomatik bei einem Stagnara-Winkel von mehr als 70–75° die operative Versorgung sinnvoll. Die operative Strategie sollte je nach Erfahrung des Operateurs die dorsale Spondylodese mit anteriorem Release oder dorsale Instrumentation mit Osteotomien umfassen. Beim Festlegen des Operationsumfangs mit den zu instrumentierenden Wirbelkörpern sowie unter Einbeziehung der Aufrichtungsmethode sollte eine proximale oder distale junktionale Kyphose vermieden werden.

Keywords: Conservative treatment; Hyperkyphosis; Pediatric spinal deformity; Surgical procedure; Wedge vertebrae.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

Literatur

    1. Schuchart S (2018) Berühmte Entdecker von Krankheiten: Holger Werfel Scheuermann, Pionier der Radiologie. Dtsch Arztebl 115:68. https://doi.org/10.3109/00016926009172519 - DOI
    1. Schmorl G, Junghans H (1932) Die Gesunde und Kranke Wirbelsäule in Roentgenbild. Thieme, Leipzig
    1. Sorensen K (1964) Scheuermann’s juvenile kyphosis: clinical appearances, radiography, aetiology, and prognosis. Enjar Munksgaard Forlag, Copenhagen
    1. Graat HCA, van Rhijn LW, Schrander-Stumpel CTRM, van Ooij A (2002) Classical Scheuermann disease in male monozygotic twins: further support for the genetic etiology hypothesis. Spine (Phila Pa 1976) 27:485–487. https://doi.org/10.1097/00007632-200211150-00020 - DOI
    1. Damborg F, Engell V, Nielsen J et al (2011) Genetic epidemiology of Scheuermann’s disease: Heritability and prevalence over a 50-year period. Acta Orthop 82:602–605. https://doi.org/10.3109/17453674.2011.618919 - DOI - PubMed - PMC

LinkOut - more resources