Subscribe to RSS
Download PDF
DOI: 10.1055/s-0044-1792119
Study of the Prevalence of Atypical Scheuermann's Kyphosis Using Computed Tomography Scans
Article in several languages: português | EnglishFinancial Support The authors declare that the did not receive financial support fromagencies in the public, private, or non-profit sectors to conduct the present study.
Abstract
Objective The aim of the present study was to detect atypical Scheuermann's disease through computed tomography scans and estimate its prevalence.
Methods This cross-sectional observational study involved 1,287 computed tomography scans from patients aged 18 to 40 years of both genders. The criteria for diagnosing atypical Scheuermann's disease included wedging of 5° in 3 consecutive vertebrae, combined with a total Cobb angle of 10° or more within the thoracolumbar interval from T8 to L2. Positive cases were assessed for kyphosis severity, presence of Schmorl's nodes, and scoliosis. Prevalence estimation and correlation analysis with age and sex were performed.
Results The study identified 28 cases of atypical Scheuermann's kyphosis, indicating a prevalence of 2.8%.
Conclusion The current research, utilizing abdominal tomography, offers valuable insights into the prevalence of Scheuermann's disease in its atypical form within the sampled population.
Work carried out at the Ribeirão Preto Medical School of Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Publication History
Received: 30 July 2024
Accepted: 05 September 2024
Article published online:
21 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Scheuermann HW. The classic: kyphosis dorsalis juvenilis. Clin Orthop Relat Res 1977; (128) 5-7
- 2 Sorensen KH. Scheuermann's juvenile kyphosis: clinical appearances, radiography, aetiology and prognosis. Copenhagen:: Munksgaard; 1964
- 3 Murray PM, Weinstein SL, Spratt KF. The natural history and long-term follow-up of Scheuermann kyphosis. J Bone Joint Surg Am 1993; 75 (02) 236-248
- 4 Palazzo C, Sailhan F, Revel M. Scheuermann's disease: an update. Joint Bone Spine 2014; 81 (03) 209-214
- 5 Lucas-García FJ, Vicent-Carsí V, Sánchez-González M. Enfermedad de Scheuermann lumbar atípica: a propósito de 6 casos. [Atypical lumbar Schuermann's disease: a presentation of 6 cases] Rev Esp Cir Ortop Traumatol 2013; 57 (02) 135-139
- 6 Singh M, Bansal M, Singh A, Bharwani N, Bhati M. Atypical Lumbar Scheuermann's Disease: A Rare Entity and Literature Review. J Orthop Case Rep 2023; 13 (02) 48-50
- 7 Bezalel T, Carmeli E, Kalichman L. Scheuermann's Disease: Radiographic Pathomorphology and Association with Clinical Features. Asian Spine J 2019; 13 (01) 86-95
- 8 Gokce E, Beyhan M. Radiological imaging findings of scheuermann disease. World J Radiol 2016; 8 (11) 895-901
- 9 Yaman O, Dalbayrak S. Kyphosis and review of the literature. Turk Neurosurg 2014; 24 (04) 455-465
- 10 Lowe TG. Scheuermann's kyphosis. Neurosurg Clin N Am 2007; 18 (02) 305-315
- 11 Tyrakowski M, Mardjetko S, Siemionow K. Radiographic spinopelvic parameters in skeletally mature patients with Scheuermann disease. Spine 2014; 39 (18) E1080-E1085
- 12 Heithoff KB, Gundry CR, Burton CV, Winter RB. Juvenile discogenic disease. Spine 1994; 19 (03) 335-340
- 13 Edgren W, Vainio S. Osteochondrosis juvenilis lumbalis. Acta Chir Scand Suppl 1957; 227: 1-47
- 14 Ristolainen L, Kettunen JA, Heliövaara M, Kujala UM, Heinonen A, Schlenzka D. Untreated Scheuermann's disease: a 37-year follow-up study. Eur Spine J 2012; 21 (05) 819-824
- 15 Urrutia J, Narvaez F, Besa P, Meissner-Haecker A, Rios C, Piza C. Scheuermann's disease in patients 15-40 years old: A study to determine its prevalence and its relationship with age and sex using chest radiographs as screening tool. J Orthop Sci 2019; 24 (05) 776-779
- 16 Scheuermann HW. Kyphosis dorsalis juvenilis. Z Orthop Chir 1921; 41: 305-307
- 17 Damborg F, Engell V, Nielsen J, Kyvik KO, Andersen MO, Thomsen K. Genetic epidemiology of Scheuermann's disease. Acta Orthop 2011; 82 (05) 602-605
- 18 Gavin TM. The etiology and natural history of Scheuermann's kyphosis. J Prosthet Orthot 2003; 15: S11-S14
- 19 Damborg F, Engell V, Andersen M, Kyvik KO, Thomsen K. Prevalence, concordance, and heritability of Scheuermann kyphosis based on a study of twins. J Bone Joint Surg Am 2006; 88 (10) 2133-2136
- 20 Makurthou AA, Oei L, El Saddy S. et al. Scheuermann disease: evaluation of radiological criteria and population prevalence. Spine 2013; 38 (19) 1690-1694
- 21 Montgomery SP, Erwin WE. Scheuermann's kyphosis–long-term results of Milwaukee braces treatment. Spine 1981; 6 (01) 5-8
- 22 Bridwell KH, DeWald RL. , Eds. Scheuermann's disease. In: Textbook of Spine Surgery. Philadelphia, PA:: Lippincott-Raven; 1997: 1173-1198
- 23 Scheuermann disease: current concepts review. J Bone Joint Surg Am 1990; •••: 72
- 24 Blumenthal SL, Roach J, Herring JA. Lumbar Scheuermann's. A clinical series and classification. Spine 1987; 12 (09) 929-932
- 25 Tomé-Bermejo F, Tsirikos AI. [Current concepts on Scheuermann kyphosis: clinical presentation, diagnosis and controversies around treatment]. Rev Esp Cir Ortop Traumatol 2012; 56 (06) 491-505
- 26 Kim HY. Statistical notes for clinical researchers: Chi-squared test and Fisher's exact test. Restor Dent Endod 2017; 42 (02) 152-155