Scheuermann's disease is a condition in which one or more of the bones of the spine (vertebrae) develop wedge-shaped deformities. This causes backward curvature of the spine (rounding of the back, or kyphosis), most commonly in the chest region.
The curvature may become permanent if it is not corrected within 6 to 9 months. However, bracing often prevents further progression of the disease and may improve the existing curvature. Exercises and good posture can also be helpful. Surgery is occasionally needed.
Scheuermann's disease occurs most often in children between ages 12 and 16 and is more common in boys than girls. The cause is unknown.
Causes
May have familial occurrence
Often unknown
Sign/Symptoms
Presence of an inflexible back deformity
Intermittent aching back pain
With increased thoracic kyphosis may have increased lumbar lordosis (sway back) with increased low back pain.
Treatment
Determined by patient's age and severity of deformity and symptoms.
Non-operative - Milwaukee Brace：
Support of spine in corrected position.
Underarm braces may be effective for kyphosis in the lower thoracic area of the spine.
Exercises are often used in conjunction with brace treatment
Operative - Spinal Fusion：
Posterior fusion or Anterior/Posterior combined fusion
Often recommended for more severe curves and/or for those who are more skeletally mature
Scheuermann's disease is a condition in which one or more of the bones of the spine (vertebrae) develop wedge-shaped deformities. This causes backward curvature of the spine (rounding of the back, or kyphosis), most commonly in the chest region.
