Thoracic Disk Herniation and Scheuermann’s Disease

Lesoin, F; Leys, Duncan; Rousseaux, M.; Dubois, François; Villette, L.; Pruvo, Jean‐Pierre; Petit, H; Jomin, M

doi:10.1159/000116327

Cited by 29 publications

(14 citation statements)

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“…According to published reports [2-4, 9, 19, 21, 22, 30], 75% of thoracic herniated discs are located below the eighth thoracic vertebra, probably because of the greater mobility of the thoracic spine at this level and an increase in the forces exerted on it there. The association of HTHD and Scheuermann's disease has been reported by several authors [8,13,14,18,33], but the connection between these two disorders is unclear. Since reports in the leading journals of the literature that the radiological signs are present in 18-40% of the population [8,18], the diagnosis of Scheuermann's disease has become frequent.…”

Section: Discussionmentioning

confidence: 99%

“…The association of HTHD and Scheuermann's disease has been reported by several authors [8,13,14,18,33], but the connection between these two disorders is unclear. Since reports in the leading journals of the literature that the radiological signs are present in 18-40% of the population [8,18], the diagnosis of Scheuermann's disease has become frequent. In the present series, 56% of the patients had Scheuermann's disease.…”

Section: Discussionmentioning

confidence: 99%

“…Other authors have reported less than 0.5% of surgical procedures for herniated discs involving a thoracic disc [2,20]. The sequelae of Scheuermann's disease probably contribute to the development of symptoms [8,13,18,33]. Clinical signs vary widely.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

et al. 2006

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The authors retrospectively reviewed a series of 18 hard thoracic herniated discs (HTHD) operated by thoracoscopy. Isolated cases of HTHD have been reported in the literature, but no series describing these lesions has been published. Seventy-two percent of the herniated discs were situated between T8 and T12. Fifty-six percent of the patients had radiographic sequelae of Scheuermann's disease. Postoperatively, 83% had neurological improvement. In seven cases (39%), a plane separating the herniated disc and the dura mater was found surgically. In 11 patients, no separating plane was found during surgery. The lesion was intradural in three patients (17%) and adherent to the dura mater in eight (44%). Among these 11 patients, surgery was complicated by a dural tear in the first seven that led to a high risk of cerebrospinal fluid fistula: four of these seven patients had required surgical revision. In the last four, the zone of adhesion of the HTHD to the dura mater was preserved, successfully preventing dural tear Keywords Calcified thoracic disc herniation AE MRI AE Scheuermann AE Thoracic spine AE Thoracoscopy Eur Spine J (2006) 15: 537-542

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

et al. 2006

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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 radiologic similarity between TLDH and SD made it attractive to assume that these two disorders have a close relationship, which could help to explain the etiology of TLDH. Although symptomatic TLDH in the context of SD has been recognized to occur [11,[13][14][15][16][17], the very limited number of cases reported made it difficult to judge whether the simultaneous occurrence of these two infrequent disorders is simply due to random association or is indicative of a more substantial relationship between the two.…”

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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Minimally Invasive Thoracic Microendoscopic Discectomy

Eichholz

O’Toole

Myers

et al. 2009

Minimally Invasive Surgery in Orthopedics

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Thoracic Disk Herniation and Scheuermann’s Disease

Abstract: The authors report 6 cases of thoracic disk herniations in patients with Scheuermann’s disease. They underline the relationship between the neurological symptomatology and Scheuermann’s disease by the herniation and evolution in their treatment by a new surgical approach.

Cited by 29 publications

References 0 publications

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

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

Minimally Invasive Thoracic Microendoscopic Discectomy

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