Rates of growth of the different points in the spine remain out of sync, and this causes the vertebrae to shift irregularly. When the curve degenerates to a point whereby it moves forward and causes a stooped back, it requires surgical or non-surgical management. Scheuermann's disease happens between the ages of ten to fifteen when the bones are still in development.
Symptoms
Back pain is a common symptom of Scheuermann's disease.
Signs of Scheuermann's disease include:
- Reduced flexibility
- Curved posture
- Lethargy
- Breathing problems
Diagnosis
In cases of severe Scheuermann's disease, patients have trouble breathing and may sustain spinal cord injuries. The disease also increases the risk of back arthritis. Side-angled x-rays reveal wedged vertebrae, and a CT scan captures detailed images of the vertebrae.
Treatment
Bracing is a non-surgical treatment option that straightens the spine. Children are ideal candidates for bracing as their bones are still in the process of growth. A brace or cast secures the spine in a fixed, aligned position. Bracing helps relieve pressure from the front portion of the vertebrae and allows the bone to catch up to the back part of the vertebrae. Although bracing reduces pain, it does not alter the curvature of the spine.
Surgery depends on the extent of kyphosis as well as the age of the patient. Spinal fusion to treat Scheuermann's disease occurs in two stages - anteriorly and posteriorly. Irregular vertebrae are conjoined to form a single component, and surgical implants are used to secure the vertebrae in place.
“Once you choose hope, anything is possible”.
CHRISTOPHER REEVE