Scheuermann disease, also known as juvenile kyphosis, juvenile discogenic disease 11, or vertebral epiphysitis, is a common condition which results in. Scheuermann’s disease is a self-limiting skeletal disorder of childhood. Scheuermann’s .. vertebral column. Hidden categories: CS1 Danish-language sources (da) · Infobox medical condition (new) · Commons category link is on Wikidata. A cifose de Scheuermann é a forma mais clássica de dorso curvo e é o resultado do acunhamento vertebral que ocorre durante a adolescência. Nos adultos, a.
|Published (Last):||21 May 2004|
|PDF File Size:||5.56 Mb|
|ePub File Size:||8.46 Mb|
|Price:||Free* [*Free Regsitration Required]|
Although not tested statistically, there was a higher absolute number of complications, though less severe, in group I, with higher levels of satisfaction achieved in group II. The comparison between the degree of initial and final average kyphosis between the sexes of both groups is shown in table 2.
Free hand pedicle screw placement in the thoracic spine: O tratamento para CS permanece controverso.
Surgical treatment of Scheuermann’s disease with segmental compression instrumentation.
The titanium instrumentation holds everything in place during healing and is not necessary once fusion completes. With an error of five percent, the variables sex, initial kyphosis, final kyphosis, correction degrees and follow-up months followed a normal distribution.
Stoddasd A, Osborn JF.
How to cite this article. Double L-rod instrumentation in the treatment of severe kyphosis secondary to Scheuermann’s disease. Case 2 Case 2.
Scheuermann’s disease or spinal osteochondrosis: Two other studies evaluating the posterior approach using the hook system showed loosening of the hooks in three cases out of 27, requiring two subsequent surgeries 4 ; in the other study, there was breaking of the stem in one case out of 30, requiring revision surgery and resulting in one patient with loss of correction, and pain Scheuermann’s disease is considered to be a form of juvenile osteochondrosis of the spine.
In other projects Wikimedia Commons. Spine Phila Pa The natural history and long-term follow-up of Scheuermann kyphosis. Thoracic pedicle screw fixation in spinal deformities: All the patients were cicose to surgical treatment by the same team of surgeons.
TV” — via YouTube. Vertebral bone density in Scheuermann disease. Scheuermann’s disease can be successfully corrected with surgical procedures, almost all of which include spinal fusion and hardware instrumentation, i. The natural history and long-term follow-up of Scheuermann kyphosis.
Scheuermann disease | Radiology Reference Article |
The purpose of this treatment is to level out the sample and avoid any statistical bias. It has been reported that curves in the lower thoracic region cause more pain, whereas curves in the upper region present a more visual deformity. In studies, kyphosis is better characterized for the thoracic spine than for the lumbar spine.
The ages ranged from 16 to 51 years, with a mean age of In the present study, the patients in whom the posterior approach was used had a mean follow-up of Typically, however, once the patient is fully grown, the bones will maintain the deformity. Scheuermann’s disease is self-limiting after growth is complete, meaning that it generally runs its course and never presents further complication.
The anterior approach was performed by means of left thoracotomy with the patient positioned in right lateral decubitus with costectomy, anterior release anterior and posterior longitudinal ligamentcomplete discectomy at the maximum levels necessary and intersomatic arthrodesis without instrumentation of an average of seven discs at the site of the deformity.
This uneven growth results in the signature “wedging” shape of the vertebrae, causing kyphosis. The majority of studies do not show any difference between the sexes, and the incidence in men and women is similar, varying only in terms of the criteria for inclusion of each trial 14, Our sample consisted of 28 patients, divided into two groups, and operated at different times.
Lowe 25 analyzed 24 patients submitted to the anterior approach with posterior fusion, and obtained good results without significant loss of correction or complications at the end of the month follow-up. The other vertebral bodies are otherwise normal. Views Read Edit View history. The patients in the first group were submitted to anterior release by conventional thoracotomy and intersomatic fusion, followed by posterior arthrodesis with posterior instrumentation using the system of pedicle screws.
For this reason, there are many treatment methods and options available that aim to correct the kyphosis while the spine is still growing, and especially aim to prevent it from worsening.
Paciente e Família
This may be explained by the learning curve required for the new technique, the incipient number of patients in which the second technique was used, and perhaps, the presence of older patients, with more rigid curves, in the posterior approach group. He observed that the kyphotic deformity was rigid, and associated with wedging of vertebral bodies 2.
There was no difference in the correction obtained after surgery or after end of the follow-up. While many patients are typically interested in getting surgery for their correction, it is important to realize the surgery aims to reduce pain, and not cosmetic defect. Management is largely dependent on the degree of kyphosis:. For a more viable result, a program of prospective, randomized work is needed, to homogenize the groups and eliminate differences in the sample.
The etiology of preadolescent kyphosis. The number of transversal devices varied as necessary during surgery. Patients undergoing surgery for Scheuermann’s disease often need physical therapy to manage pain and mobility, however their range of motion is generally not limited very much.
With the patient in ventral decubitus, ckfose a posterior access and subperiosteal dissection, resection of the lower facets was performed at all the levels of arthrodesis Figure 2.
For decades there has been a lot of controversy surrounding treatment options.