My Orthopaedic Surgeon

Paper No: 297 Friday, February 25, 2005 11:54 AM - 12:00 PM Edward C Sun, MD San Francisco CA (n.) Francis Denis, MD Minneapolis MN (n.) John Lonstein, MD Minneapolis MN (n.) Moderator(s): Edward D Simmons, MD Buffalo NY Susan E Stephens, MD Cleveland OH Spine The risk factors associated with junctional kyphosis in 67 patients undergoing long instrumented spinal fusion for Scheuermann's kyphosis were analyzed.

Paper No: 413 Friday, March 24, 2006 11:24 AM - 11:30 AM Location: McCormick Place S501 Jose A Herrera-Soto, MD Orlando FL (n) Alvin Howell Crawford, MD Cincinnati OH (n) Shital Parikh, MD Grundy VA (n) Mohammed Al-Sayyad, MD Jeddah Saudi Arabia (n) Moderator(s): Richard E Bowen, MD Los Angeles CA Lori A Karol, MD Dallas TX Pediatrics VATS release and fusion followed by posterior instrumented fusion for severe Scheuermann's deformity is superior to reported posterior fusion alone.

Heritability in Scheuermann's disease Paper No: 339 Thursday, March 23, 2006 05:00 PM - 05:06 PM Location: McCormick Place N426 Frank Damborg, MD Odense Denmark (n) Karsten Thomsen, MD Odense Denmark (n) Vilhelm Engell, MD Vejle Denmark (n) Kirsten O Kyvik, MD, PhD Odense Denmark (n) Mikkel Andersen, MD (n) Moderator(s): Vincent J Silvaggio, MD Pittsburgh PA Andrew V Slucky, MD Oakland CA Spine Out of 34,007 twins 943 reported to suffer from Mb. Scheuermann: prevalence 2.8%, pair-wise concordance 0.19, and heritability 0.74. The purpose of this study was to examine the genetic contribution to the pathogenesis of Scheuermann's disease.

Operative Management of Scheuermann's Kyphosis in 78 Patients: Outcomes, Complications, and Technique Paper No: 340 Thursday, March 23, 2006 05:12 PM - 05:18 PM Location: McCormick Place N426 Baron Lonner, MD New York NY (a - DePuy) Thomas G Lowe, MD (a - DePuy) Peter O Newton, MD San Diego CA (a,b,c,e - DePuy) Michael F O'Brien, MD Miami FL (a,c,e - Depuy, b - Depuy, MedTronic) Paul D Sponseller, MD Baltimore MD (a - DePuy) Randal R Betz, MD Ocean City NJ (a,e - DePuy) Lawrence G Lenke, MD Saint Louis MO (a - DePuy, MedTronic) Alvin Howell Crawford, MD Cincinnati OH (a - DePuy) Lynn Juliana Letko, MD Rocky Hill NJ (a - DePuy) Harry L Shufflebarger, MD Miami FL (*) Moderator(s): Vincent J Silvaggio, MD Pittsburgh PA Andrew V Slucky, MD Oakland CA Spine A retrospective review of patients managed operatively for Scheuermann's kyphosis was conducted. Kyphosis correction was greater in patients treated with posterior-only surgery; however, maintenance of correction was better in those who underwent combined AP procedures. Factors associated with the development of junctional kyphosis were explored.

Paper No: 341 Thursday, March 23, 2006 05:18 PM - 05:24 PM Location: McCormick Place N426 Stanley S Lee, MD Ann Arbor MI (n) Lawrence G Lenke, MD Saint Louis MO (a-Medtronic Sofamor Danek) Timothy R Kuklo, MD Saint Louis MO (a-Medtronic Sofamor Danek) Luis Valente V N Famalicao Portugal (n) Keith H Bridwell, MD Saint Louis MO (a-Medtronic Sofamor Danek) Brenda Sides, MD Saint Louis MO (n) Kathy Blanke, RN (n) Moderator(s): Vincent J Silvaggio, MD Pittsburgh PA Andrew V Slucky, MD Oakland CA Spine Posterior only treatment for Scheuermann's kyphosis achieved and maintained better kyphosis correction than with circumferential fusion with significantly less complications.

Chapter from the Bracing Manual of the Scoliosis Research Society

Combined Anterior-Posterior Fusion With Laterally Placed Threaded Interbody Cages and Pedicle Screws for Scheuermann Kyphosis
from Neurosurgical Focus Posted 02/03/2003 Ross R. Moquin, M.D., Michael K. Rosner, M.D., Patrick B. Cooper, M.D.
Abstract The authors report their preferred method for correcting Scheuermann disease via a combined anterior-posterior approach; their procedure is associated with a lower morbidity rate than the standard approach. Twenty-month follow-up examination demonstrated excellent maintenance of correction. The results satisfied the requirements to function without restriction in a vigorous military environment.

Juvenile osteochondrosis of spine aka/or Scheuermann's disease aka/or Calve's disease may cause or feature - Miscellaneous syndromes Osteochondritis Pathological fracture Symptoms and Signs Back pain Bone pain Kyphosis Orthopaedic conditions Schmorl's nodes
Juvenile osteochondrosis of spine: Definition(s) via UMLS "Osteochondrosis of the vertebral epiphyses in children." Source: Medical Subject Headings, 2007_2007_05_01

Scheuermann disease Notes, images and links

From Applied Radiology Posted 06/16/2006
Bruce A. Baethge, MD; Veronica T. Vasquez, PAC; Elizabeth A. Jones, MD
Case Summary A 47-year-old woman presented to the rheumatology clinic for evaluation of her back pain. She described aching thoracic back pain that interfered with her sleep. She denied other musculoskeletal symptoms and had no gastrointestinal symptoms. Her medical history was significant for left-sided facial edema, left facial nerve paralysis, and 6 months of chronic headaches.

Images on Scheuermann's Disease (Kyphosis) from ARRS archives

Contents - Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Bibliography
Scheuermann disease (juvenile kyphosis) is a deformity in the thoracic or thoracolumbar spine in children. Patients have an increased kyphosis in the thoracic or thoracolumbar spine with associated backache and localized changes in the vertebral bodies.

Search String allintitle: (scheuermann OR scheuermann's OR scheuerman) (disease OR kyphosis) yielded 908 sites July 2007

Search for Scheuermann's Disease as a major subject. Search string "Scheuermann's Disease"[Majr]
291 returns, July 2007

Contents -Introduction Indications Relevant Anatomy And Contraindications Workup Treatment Complications Outcome And Prognosis Future And Controversies Pictures Bibliography
Scheuermann thoracic kyphosis is a structural deformity of the thoracic spine, defined by anterior wedging of at least 5° of 3 or more adjacent thoracic vertebral bodies. Further radiographic findings include Schmorl nodes and endplate narrowing. While the etiology of Scheuermann kyphosis remains unknown, the natural history and treatment indications are well described.