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Scheuermann's kyphosis.

Thomas G Lowe1

  • 1Woodridge Spine Center, Wheat Ridge, CO 80033-6014, USA. woodridgespine@aol.com <woodridgespine@aol.com>

Neurosurgery Clinics of North America
|June 9, 2007
PubMed
Summary
This summary is machine-generated.

Scheuermann's disease, a common cause of adolescent kyphosis, often has delayed diagnosis. Early brace treatment is effective for moderate curves, while severe cases may require surgery for optimal outcomes.

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Area of Science:

  • Orthopedics
  • Adolescent Medicine
  • Spine Surgery

Background:

  • Scheuermann's disease is the leading cause of structural kyphosis in adolescents.
  • Misattribution to poor posture often delays diagnosis and treatment.
  • The natural history and optimal treatment indications require further definition.

Purpose of the Study:

  • To review the diagnosis, treatment indications, and outcomes for Scheuermann's disease.
  • To delineate effective nonoperative and operative management strategies.
  • To identify factors influencing treatment success and complications.

Main Methods:

  • Review of current literature on Scheuermann's disease.
  • Analysis of treatment outcomes based on curve severity and patient maturity.

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  • Evaluation of surgical indications and postoperative complications.

    • Main Results:

    • Brace treatment is highly successful for kyphosis between 55-80 degrees if diagnosed before skeletal maturity.
    • Curves exceeding 80 degrees (thoracic) or 65 degrees (thoracolumbar) often necessitate surgery.
    • Surgical intervention is indicated for progression, pain, sagittal imbalance, or neurological deficits.

    Conclusions:

    • Proper patient selection is crucial for successful nonoperative or operative management.
    • Postoperative junctional kyphosis can be minimized by appropriate surgical technique and correction.
    • Early diagnosis and timely intervention lead to favorable outcomes in Scheuermann's disease.