Read more about this disease, some with Classification – Types – Signs and symptoms – Genetics – Pathophysiology – Diagnosis – Screening – Prevention – Treatment and management – Cures and much more, some including pictures and video when available.
Scheuermann’s disease is a self-limiting skeletal disorder of childhood. It is also known as Sherman’s Disease (since some people have difficulties spelling Scheuermann) and Scheuermann’s kyphosis, since it results in kyphosis.
It is named for Holger Werfel Scheuermann.[1][2][3]
It is more well characterized for the thoracic spine than for the lumbar spine.[4][5]
The cause is not currently known, and the condition appears to be multifactorial.[6] Several candidate genes (such as COL1A2) have been proposed and excluded.[7]
Scheuermann’s disease is considered a form of juvenile osteochondrosis of the spine. It is found mostly in teenagers and presents a significantly worse deformity than postural kyphosis. Patients suffering with Scheuermann’s kyphosis cannot consciously correct their posture. The apex of their curve, located in the thoracic vertebrae, is quite rigid. The sufferer may feel pain at this apex, which can be aggravated by physical activity and by long periods of standing or sitting; this can have a significantly detrimental effect to their lives as their level of activity is curbed by their condition and they may feel isolated or uneasy amongst their peers if they are children, depending on the level of deformity. Also, the decreased level of height will emphasize body fat around the intestines, making the person with Scheuermann’s kyphosis seem more heavy-set than normal. This can make children even more uneasy, with a possibility of being harassed by peers, since they appear to be “fatter” than other children. Whereas in postural kyphosis the vertebrae and disks appear normal, in Scheuermann’s kyphosis they are irregular, often herniated, and wedge shaped over at least three adjacent levels.
The seventh and tenth thoracic vertebrae are most commonly affected. It causes backache and spinal curvature. In very serious cases it may cause internal problems and spinal cord damage. The curvature of the back decreases height, thus putting pressure on internal organs, wearing them out quicker than the natural aging process. A possibility of organ failure increases with long periods of time.
There are many ways to treat Scheuermann’s kyphosis. For less extreme cases, manual medicine, physical therapy and/or back braces can help reverse or stop the kyphosis before it does become severe. Severe or extreme cases sometimes may be treated through an extensive surgical procedure. Chiropractic has also been shown to be effective in the treatment of Scheuermann’s kyphosis and other scoliotic diseases. [8]
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