Lumbar Scheuermann's: A Clinical Series and Classification

  title={Lumbar Scheuermann's: A Clinical Series and Classification},
  author={Scott L. Blumenthal and James Roach and J A Herring},
Scheuermann's disease of the thoracic spine is a well-defined entity, although its exact etiology is unknown. In the thoracolumbar or lumbar spine however, the criteria are much less strict for the application of this eponym. A retrospective review of all the cases of lumbar Scheuermann's disease seen at the Texas Scottish Rite Hospital revealed two distinct radiographic pictures. These consisted of a “classic” Scheurermann's and an “atypical” type characterized by vertebral end plate changes… 
The radiological reporting of lumbar Scheuermann's disease: an unnecessary source of confusion amongst clinicians and patients.
It is recommended that the term "Scheuermann's disease" be avoided in radiological reports to GPs and other non-specialist clinicians except when reporting on classical adolescent thoracic kyphosis.
Juvenile discogenic disease.
It is theorized that the thoracolumbar Scheuermann's disease and the associated degenerative disc disease of the lower lumbar spine are manifestations of an intrinsic defect of the discs and/or cartilaginous end plates, which results in inadequate nutrition and structural weakness or a combination of both, and early degeneration.
Acute Brown-Sequard syndrome caused by thoracic disc herniation in atypical Scheuermann ’ s disease : a case report
Symptomatic thoracic disc herniation (TDH) could be seen as a neurological complication of atypical Scheuermann’s disease with acute spinal myelopathy or paraplegia caused by a protruded disc.
Scheuermann's Kyphosis
Scheuermann's disease is the most common cause of thoracic hyperkyphosis in adolescence and Bracing is appropriate in uncompleted skeletal maturation with kyphosis up to 75 degrees and in cases above 75 degrees, it is appropriate to perform surgical treatment when bracing is unsuccessful in adolescents and presence of exceeding pain despite the conventional methods.
[Adult Scheuermann's disease as cause of mechanic dorsalgia].
In case of chronic dorsalgia of adult, ASD is rarely considered as differential diagnosis, because of similar radiological pictures of the MSA to other pathology as spondylodiscitis, primitive or metastasic spinal tumors, and brittleness vertebral fractures.
Scheuermann’s Disease: Radiographic Pathomorphology and Association with Clinical Features
Thoracic kyphosis was significantly associated with cervical and lumbar lordosis, SS, T10–T12 Cobb angle, and AWV number, and self-perceived body image, the most common complaint of patients with Scheuermann’s disease, was high and significant associated with thoracicKyphoses and the number of AWV.
The relationship of symptomatic thoracolumbar disc herniation and Scheuermann’s disease
The high proportion of associated SD and the tendency of SD’s signs to promote disc herniation in symptomatic TLDH patients suggest a close relationship between these two disorders.
Scheuermann's Kyphosis: Diagnosis, Management, and Selecting Fusion Levels.
Surgical intervention is indicated in patients with greater than 70° to 75° thoracic curves, greater than 25° to 30°Thoracolumbar curves, intractable pain, neurologic deficit, cardiopulmonary compromise, or poor cosmesis.