Current concepts on Scheuermann kyphosis: Clinical presentation, diagnosis and controversies around treatment

Tomé-Bermejo, Félix

doi:10.1016/j.recote.2012.10.002

Cited by 12 publications

(32 citation statements)

References 50 publications

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“…Bradford et al joined anterior and posterior fusions for enhanced preservation of correction and pain release (48). Detailed principles assumed immobile kyphosis by curving larger than 80 degrees or proven pseud arthrosis (28,53). Some writers have supported a combined anterior and posterior approach for a rigid curvature that does not improve to fewer than 50 degrees through extension (52,53).…”

Section: Anterior Combined Posterior Approachmentioning

confidence: 99%

“…Detailed principles assumed immobile kyphosis by curving larger than 80 degrees or proven pseud arthrosis (28,53). Some writers have supported a combined anterior and posterior approach for a rigid curvature that does not improve to fewer than 50 degrees through extension (52,53). The anterior release is conventionally done via an ordinary open thoracotomy.…”

Section: Anterior Combined Posterior Approachmentioning

confidence: 99%

“…Thoracoscopy allows the surgeon to attain an anterior relief in a minimally invasive method. After careful anesthetic groundwork with ventilation through one lung, the thoracoscopic process is done (53,55). Three ports are located for entree: one for the camera and two for any thoracoscopic tools desirable for the entire process (55).…”

Section: Anterior Combined Posterior Approachmentioning

confidence: 99%

“…The anterior approach basically places patients at danger for pneumothorax, pleural effusion, hemothorax, and catastrophic great vessels injury (52,53). However, videoassisted thoracoscopic surgery for anterior spinal release decreased the overall thoracoscopic complications (50)(51)(52).…”

Section: Surgerymentioning

confidence: 99%

“…However, videoassisted thoracoscopic surgery for anterior spinal release decreased the overall thoracoscopic complications (50)(51)(52). The most communal peri-operative operating hitches related to the surgical procedure include neurological discrepancies like paraplegia, wound infections, and respiratory problems, particularly in cases with thoracotomy process (28,54,55), in longstanding complications, pseud arthrosis by recurring deformity, hardware failure, and proximal and distal junctional kyphosis are the most common (42,53,57,58). Surgical reconsideration is obligatory in about 17% of patients (28,59).…”

Section: Surgerymentioning

confidence: 99%

See 4 more Smart Citations

Scheuermann’s Disease: New Impressions of Clinical and Radiological Evaluation and Treatment Approaches; A Narrative Review

Haddadi

Kadam

Tannoury³

et al. 2018

J Pediatr Rev

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Context: Scheuermann's disease (kyphosis) is an essential kyphosis of the thoracic spinal column, and it is the most public source of kyphosis in adolescents. It has been shown that the imaging characteristics of the disease are sequential 3 vertebrae by minimum 5 degrees of wedging of anterior part of vertebral body. Frequently, the disease is presented at 8 to 12 years of age. Kyphosis is regularly managed with conservative methods. The purpose of this review was to discuss challenging issues in evaluation and treatment of this disease in the mentioned age group. Evidence Acquisition: Medline, Google scholar, PubMed and Ovid were searched and a total of 44 articles were found to be involved in the pediatric evaluation of this disease.Results: The precise basis of Scheuermann's kyphosis remnants is unidentified. Diagnosis is made by careful clinical examination and radiologic evaluations. In neurologic defects, MRI must be taken. Conservative managing plans for SK involve observation, physical therapy, and bracing. Some writers recommended evading the operation till skeletal maturity is completed. Surgery is commonly suggested for patients with deformity progress, permanent pain, neurological discrepancy, pulmonary insufficiency, or cosmetic complain. Thoracic kyphosis with curving of smaller than 75 degrees seldom requires surgery. Posterior only or combined with anterior methods are the surgery options based on severity of disease. Conclusions: Today, new and more modern braces have been designed to increase global advantages of bracing in Scheuermann's disease. Patients with more than 75 degrees of curving, kyphotic progress, intolerable cosmetic features, or neurological discrepancy might be supposed for operation. New surgical procedures permit improved correction of the deformity via posterior surgery with lesser complication rates. Concurrent shortening of the posterior spinal column crossways the apical levels, combined by monitoring of spinal cord, decreases the danger of neurological deficits. Though patients state great satisfaction rates through surgery, both proximal and distal junctional complications can remain. New systems with dynamic instrumentation and improving surgical methods with biologic handling are almost convinced to become typical treatment possibilities.

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