Localised Osteochondritis (Scheuermann's Disease)

Hafner, R. H. V.

doi:10.1302/0301-620x.34b1.38

Cited by 11 publications

(2 citation statements)

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“…Interestingly, these changes were all related to another spinal disorder: Scheuermann's disease (SD) [5][6][7][8][9][10][11][12]. SD was initially named after Scheuermann's first description of a structural thoracic kyphosis with more than 3 wedged vertebrae that mainly affected adolescents [5], but it was subsequently recognized that other than Scheuermann's kyphosis, the pathological changes of SD involved disc lesions characterized by the above features, most commonly at the lumbar and thoracolumbar regions [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The relationship of symptomatic thoracolumbar disc herniation and Scheuermann’s disease

Liu

Chen

et al. 2013

Eur Spine J

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Purpose Symptomatic disc herniations in the thoracolumbar spine between T10/11 and L1/2 can be collectively called thoracolumbar disc herniation (TLDH). The etiology of this disorder is unclear. However, it is interesting that we have noted numerous TLDH patients have radiographic features of another spinal disorder which is Scheuermann's disease (SD). The purpose of this study is to investigate the relationship between symptomatic TLDH and SD in a symptomatic TLDH cohort. Methods A cohort of 63 patients with symptomatic TLDH, who had surgery was investigated. Incidences of associated SD and four radiographic signs of SD that were Schmorl's node, irregular vertebral end plate, posterior bony avulsion of the vertebra and wedge-shaped vertebra, average thoracolumbar kyphotic angle and incidences of disc herniation at segments with and without radiographic signs of SD were examined. Data from the TLDH group were compared with 57 patients undergoing surgery for lower lumbar disc herniation (LDH, L3/4-L5/S1) in the same period. Results The incidences of the four radiographic signs of SD and the incidence of associated SD were all significantly higher in the TLDH group than in the LDH group. 95.2 % of the patients in the TLDH group were diagnosed with SD (either classical SD or its atypical form). The average thoracolumbar kyphotic angle of the TLDH group was 16.9°, while that of the LDH group was 7.6°( P = 0.000). In the TLDH group, the incidences of disc herniation at segments with radiographic signs of SD were all significantly higher than at segments where no sign of SD was found. Conclusions The high proportion of associated SD and the tendency of SD's signs to promote disc herniation in symptomatic TLDH patients suggest a close relationship between these two disorders. Symptomatic TLDH should be seen as a truly different surgical entity, that is, a special form of SD rather than just an indicator of a failing back.

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Section: Introductionmentioning

confidence: 99%

The relationship of symptomatic thoracolumbar disc herniation and Scheuermann’s disease

Liu

Chen

et al. 2013

Eur Spine J

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“…5,8,11,16,18,20,28–32 These abnormalities are often found in the anterior part of the vertebral ring apophysis of the lower thoracic and the upper lumbar spine, 2 and when they are accompanied by low back pain the condition is classified as “atypical” Scheuermann's disease. 9,10,31 Even though the fate of these abnormalities cannot be foreseen with certainty, the occurrence of degenerative disc disease and its sequelae has been assumed in several reports. 12,15,26,29…”

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Radiographic Abnormalities in the Thoracolumbar Spine of Young Elite Skiers

2001

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An increased frequency of radiologic abnormalities in the thoracolumbar spine has been reported among young athletes in various sports, but there are no data concerning ski sports. To evaluate the incidence of these abnormalities in young elite skiers, we compared 120 skiers younger than 17 years old (alpine skiers, ski jumpers, and Nordic cross-country skiers) with a random sample of 39 control subjects of the same age who had no history of high-performance sports participation. Standardized anteroposterior and lateral radiographs of the entire lumbar spine, the lower thoracic spine, and the upper part of the sacrum were obtained from each athlete and each control subject. Radiographs were evaluated by two independent observers for the presence and size of anterior and posterior endplate lesions and Schmorl's nodes. The elite alpine skiers and ski jumpers demonstrated a significantly higher rate of anterior endplate lesions than did the control subjects. This finding might be attributable to excessive loading and repetitive trauma of the immature spine under high velocity, especially in the forward bent posture.

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Fractures of the Thoracic and Lumbar Spine

Hensinger¹,

Craig²

2011

Children's Spinal Disorders and Fractures

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Localised Osteochondritis (Scheuermann's Disease)

Cited by 11 publications

References 0 publications

The relationship of symptomatic thoracolumbar disc herniation and Scheuermann’s disease

The relationship of symptomatic thoracolumbar disc herniation and Scheuermann’s disease

Radiographic Abnormalities in the Thoracolumbar Spine of Young Elite Skiers

Fractures of the Thoracic and Lumbar Spine

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