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Related Experiment Videos

Spondylolysis in Scheuermann's disease.

J W Ogilvie, J Sherman

    Spine
    |April 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Increased lumbar lordosis in Scheuermann's kyphosis patients may lead to spondylolysis. Oblique radiographs are recommended for low-back pain evaluation in these patients to detect this condition.

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    Area of Science:

    • Orthopedics
    • Radiology
    • Spine Surgery

    Background:

    • Increased lumbar lordosis can cause stress on the pars interarticularis.
    • Fatigue fractures of the pars interarticularis can lead to spondylolysis.
    • Scheuermann's kyphosis is a condition characterized by an exaggerated thoracic curve and often associated with altered lumbar alignment.

    Purpose of the Study:

    • To investigate the incidence of asymptomatic spondylolysis in patients with Scheuermann's kyphosis and increased lumbar lordosis.
    • To confirm the pathogenesis of spondylolysis in the context of altered spinal biomechanics.

    Main Methods:

    • Retrospective analysis of 18 patients diagnosed with Scheuermann's kyphosis.
    • Evaluation of lumbar lordosis and assessment for spondylolysis using oblique radiographs.

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    Main Results:

    • A 50% incidence of asymptomatic spondylolysis was observed in the study cohort.
    • The findings support the link between increased lumbar lordosis and the development of spondylolysis.

    Conclusions:

    • Patients with Scheuermann's disease presenting with low-back pain require evaluation for spondylolysis.
    • Oblique radiographs of the lumbar spine are crucial for ruling out spondylolysis in this patient population.