Scheuermann’s kyphosis is a “developmental” type of kyphosis, meaning that it occurs during growth. Wedging of the vertebrae causes this condition. The vertebrae are normally rectangular-shaped and stacked on top of one another like building blocks with a soft cushion in between each one.
How does Scheuermann’s disease occur?
Scheuermann’s disease, or Scheuermann’s kyphosis, is a condition in which a child has too much curvature (or kyphosis) in the middle of the back. Kyphosis typically occurs during periods of accelerated growth. If the front of the spine doesn’t grow as quickly as the back of the spine, the vertebrae become wedge-shaped.
What is the main cause of kyphosis is?
Poor posture in childhood, such as slouching, leaning back in chairs and carrying heavy schoolbags, can cause the ligaments and muscles that support the vertebrae to stretch. This can pull the thoracic vertebrae out of their normal position, resulting in kyphosis.
Does Scheuermann’s disease get worse with age?
Scheuermann’s disease does not typically get worse once the individual has stopped growing. For adults with Scheuermann’s kyphosis, the treatment is usually observation, anti-inflammatory medications (such as NSAIDs).
What happens if kyphosis is left untreated?
As with postural kyphosis, the condition is usually diagnosed in adolescence. When left untreated, Scheuermann’s kyphosis can progress. Accompanying pain and cosmetic deformity can also be anticipated.
Is kyphosis a disability?
Kyphosis is not usually the direct cause of significant disability, but like scoliosis, it can cause discomfort, pain and lost productivity when it happens in conjunction with other serious conditions or injuries.
Is Scheuermann’s kyphosis hereditary?
Similar to scoliosis, Scheuermann’s disease is a hereditary condition, but it is multi-factorial so there is no clear inheritance pattern. There are two main types of Scheuermann’s kyphosis, one with an apex at the mid-thoracic level (T7-T9) and one type with the apex located at the thoracolumbar junction (T11-T12).
How long does it take to correct kyphosis?
The surgery for kyphosis is a posterior spinal fusion with instrumentation. The surgery itself takes four to five hours with a hospital stay of three to four days. The recovery is typically four to six weeks at home.
What is the best treatment for kyphosis?
Treatment for postural kyphosis and Scheuermann’s kyphosis may include regular X-rays to monitor the curve, physical therapy and, in some cases, a back brace. For congenital kyphosis (and severe Scheuermann’s kyphosis), spinal fusion surgery can relieve pain and correct the curvature.