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Spinal stenosis subsequent to juvenile lumbar osteochondrosis
1Department of Radiology, Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
Skeletal Radiology
|January 1, 1990
Summary
Juvenile lumbar osteochondrosis (Scheuermann's disease) can cause spinal stenosis, even with normal spinal canal diameters on X-rays. Myelography is crucial for diagnosing this condition when suspected, revealing dural sac narrowing.
Area of Science:
- Orthopedics
- Radiology
- Spinal Surgery
Background:
- Juvenile lumbar osteochondrosis, also known as Scheuermann's disease, can affect vertebral bodies.
- Spinal stenosis is a condition characterized by narrowing of the spinal canal.
Purpose of the Study:
- To describe spinal stenosis associated with juvenile lumbar osteochondrosis.
- To highlight the diagnostic utility of myelography in such cases.
Main Methods:
- Case series of eight patients with spinal stenosis and osteochondrous changes.
- Radiographic assessment including plain films and myelography.
Main Results:
- No cases showed bony stenosis on plain films (midsagittal or interpedicular diameters).
- Myelography revealed significant narrowing of the dural sac in all patients, indicating central spinal stenosis.
Conclusions:
- Clinical suspicion of spinal stenosis in the presence of osteochondrous changes warrants myelography.
- Myelography is essential for diagnosing spinal stenosis in juvenile lumbar osteochondrosis, even with normal plain film measurements.
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