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Thoracic cord compression in Scheuermann's disease.

J S Yablon1, D L Kasdon, H Levine

  • 1Department of Neurosurgery, Tufts-New England Medical Center, Boston, Massachusetts.

Spine
|August 1, 1988
PubMed
Summary

Spastic paraparesis in a young man was caused by thoracic spinal cord compression from Scheuermann

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Area of Science:

  • Neurology
  • Orthopedics
  • Spinal Surgery

Background:

  • Spastic paraparesis is a neurological condition characterized by muscle stiffness and spasms in the legs.
  • Thoracic spinal cord compression can lead to significant neurological deficits.
  • Scheuermann's disease is a spinal condition typically causing kyphotic deformity.

Observation:

  • A 29-year-old man presented with insidious onset spastic paraparesis.
  • Radiologic evaluation revealed thoracic spinal cord compression due to kyphosis and disc herniation.
  • The kyphosis was identified as a manifestation of Scheuermann's disease.

Findings:

  • Neurologic signs are rare in Scheuermann's disease.
  • Surgical decompression of the thoracic spinal cord was performed.
  • The patient experienced a near-complete recovery of neurologic function post-surgery.

Implications:

  • This case highlights the potential for significant neurological compromise from Scheuermann's disease.
  • Surgical intervention, including costotransversectomy and transthoracic approaches, can effectively manage thoracic cord compression.
  • Early diagnosis and surgical decompression may lead to favorable outcomes in patients with spinal deformity-related myelopathy.

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