>Acta Ortopédica Mexicana
>Year 2003, Issue 5
González-Trevizo GA, Mota-Bolfeta R, Romero-Leguizamo H
Efficacy of the double approach in Scheuermann's disease. Clinical cases report
Acta Ortop Mex 2003; 17 (5)
PDF: 4. Kb.
Objectives: To show our experience on surgical treatment of Scheuermann´s disease. Material and methods: Fifteen patients with Scheuermann´s Kyphosis had surgery for progressive Kyphotic deformity of 50° or greater. All of them were men, from 1994 through 2001. The Cobb method was used to measure the deformity on X-ray. This measure was made before surgery, immediately after, and two years later after surgical procedure. All patients had anterior release with posterior spine arthrodesis with segmental compression instrumentation. It was used a cast corset after surgery. Results: This is a retrospective study of 15 patients of mean age 17 ± 8.15 years (9-45) with severe Scheuermann´s Kyphosis. The mean preoperative thoracic kyphotic curve was 79.53° ± 10.46 (68°-100°). The mean postoperative thoracic kyphotic curve was 32.73° ± 10.10. 45.6 ± 16.78° was the average correction (p .005). Cast corset was used an average of 11.4 months after surgery. 40% of patients had late complications and 27% underwent instrumentation withdrawal. The mean thoracic kyphotic curve after two years of surgery was 37.06° ± 9.69 with loss of correction of 4.6° p › .05. Conclusions: Patients with Scheuermann´s disease who underwent surgical treatment had good results and significant loss of correction did not occur in the fusion area.
||Scheuermann´s disease, kyphosis, surgical procedures, operative.
Aufdermaur M: Juvenile kyphosis (Scheuermann’s disease): radiography, histology and pathogenesis. Clin Orthop 1981; (154): 166-174.
Blumenthal SL, Roach J, Herring JA: Lumbar Scheuermann’s. A clinical series and classification. Spine 1987; 12(9): 929-932.
Bradford DS, Ahmed KB, Moe JH, Winter RB, Lonstein JE: The surgical management of patients with Scheuermann’s disease: a review of twenty-four cases managed by combined anterior and posterior spine fusion. J Bone Joint Surg Am 1980; 62(5): 705-712.
Bradford DS, Brown DM, Moe JH, Winter RB, Jowsey J: Scheuer-mann’s kyphosis: a form osteoporosis? Clin Orthop 1976; (118): 10-15.
Bradford DS, Garcia A: Neurological complications in Scheuermann’s disease. A case report and review of the literature. J Bone Joint Surg Am 1969; 51(3): 567-572.
Bradford DS, Moe JH, Montalvo FJ, Winter RB: Scheuermann’s kyphosis and roundback deformity. Results of Milwaukee brace treatment. J Bone Surg Am 1974; 56(4): 740-758.
Bridwell KH, Kuklo TR, Lewis SJ, Sweet FA, Lenke LG, Baldus C: String test measurement to assess the effects of spinal deformity correction on spinal canal length. Spine 2001; 26(18): 2013-2019.
Gilsanz V, Gibbens DT, Carlson M, King J: Vertebral bone density in Scheuermann’s disease. J Bone Joint Surg 1989; 71(6): 894-897.
Greene TL, Hensinger RN, Hunter LY: Back pain and vertebral changes simulating Scheuermann’s disease. J Pediatr Orthop 1985; 5(1): 1-7.
Gutowski WT, Renshaw TS: Orthotic results in adolescent kyphosis. Spine 1988; 13(5): 485-489.
Harreby M, Neergaard K, Hesselsoe G, Kjer J: Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25-year prospective cohort study of 640 school children. Spine 1995; 20(21): 2298-2302.
Hensinger RN, De vito PD, Ragsdale CG: Changes in the cervical spine in juvenile rheumatoid arthritis. J Bone Joint Surg 1986; 68(2): 189-198.
Herndon WA, Emans JB, Micheli LJ, Hall JE: Combined anterior and posterior fusion for Scheuermann’s kyphosis. Spine 1981; 6(2): 125-130.
Horne J, Cockshott WP, Shannon HS: Spinal column damage from water ski jumping. Skeletal Radiol 1987; 16(8): 612-616.
Hosman AJ, Langeloo DD, de Kleuver M, Anderson PG, Veth RP, Slot GH: Analysis of the sagittal plane after surgical management for Scheuermann’s disease: a view on overcorrection and the use of an anterior release. Spine 2002; 27(2): 167-175.
Ippolito E, Bellocci M, Montanaro A, Ascari E, Ponseti IV: Juvenile kyphosis: An ultrastructural study. J Pediatr Orthop 1985; 5(3): 315-322.
Ippolito E, Ponseti IV: Juvenile kyphosis: histological and histochemical studies. J Bone Joint Surg Am 1981; 63(2): 175-182.
de Jonge J, Illes T, Bellyei A: Surgical correction of Scheuermann´s kyphosis. Int Orthop 2001; 25: 70-73.
Laredo JD, Bard M, Chretien J, Kahn MF: Lumbar posterior marginal intraosseous cartilaginous node. Skeletal Radiol 1986; 15: 201-208.
Lonstein JE, Carlson JM: The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg 1984; 66(7): 1061-1071.
Lopez RA, Burke SW, Levine DB, Schneider R: Osteoporosis in Scheuermann´s disease. Spine 1988; 13(10): 1099-1103.
Lowe TG, Kasten MD: An analysis of sagittal curves and balance after Cotrel-Dubousset instrumentation for kyphosis secondary to Scheuermann´s disease. Spine 1994; 19(15): 1680-1685.
Lowe TG: Scheuermann’s disease J Bone Joint Surg 1990; 72(6): 940-945.
Lowe TG: Double L-rod instrumentation in the treatment of severe kyphosis secondary to Scheuermann´s disease. Spine 1987; 12(4): 336-341.
Mandell GA, Harcke HT: Scintigraphy of spinal disorders in adolescents. Skeletal Radiol 1993; 22(6): 393-401.
Mandell GA, Morales RW, Harcke HT, Bowen JR: Bone scintigraphy in patients with atypical lumbar Scheuermann’s disease. J Pediatr Orthop 1993; 13(5): 622-627.
Murray PM, Weinstein SL, Spraff KF: The natural history and long-term follow-up of Scheuermann´s kyphosis. J Bone Joint Surg 1993; 75(29): 236-248.
Myer JJ, Herman MJ, MacEwen GD: Radiologic case study. Lumbar Scheuermann’s disease. Othopedics 1998; 21(4): 484, 493, 496.
Newton PO, Wenger DR, Mubarak SJ, Meyer RS: Anterior release and fusion in pediatric spinal deformity. A comparison of early outcome and cost of thoracoscopic and open thoracotomy approaches. Spine 1997; 22(12): 1398-1406.
Otsuka NY, Hall JE, Mah JY: Posterior fusion for Scheuermann´s kyphosis. Clinic Orthop 1990; 251: 134-139.
Paajanen H, Alanen A, Erkintalo M, Salminen JJ, Katevou K: Disc degeneration in Scheuermann’s disease. Skeletal Radiol 1989; 18(7): 523-526.
Papagelopoulos PJ, Klassen RA, Peterson HA, DeKutoski MB: Surgical treatment of Scheuermann´s disease with segmental compression instrumentation. Clinic Orthop 2001; (386): 139-149.
Rose PS, Ahn NU, Levy HP, Ahn UM, Liberfarb RM, Nallamshetty L, Sponseller PD, Francomano CA: Thoracolumbar spinal abnormalities in Strickler syndrome. Spine 2001; 26(4): 403-409.
Sachs B, Bradford D, Winter R, Lonstein J, Moe J, Willson S: Scheuermann’s kyphosis. Follow-up of Milwaukee-brace treatment. J Bone Joint Surg Am 1987; 69(1): 50-57.
Salminen JJ, Erkintalao MO, Pentti J, Oksanen A, Kormano MJ: Recurrent low back pain and early disc degeneration in the young. Spine 1999; 24(13): 1316-1321.
Scoles PV, Latimer BM, Diglovanni BF, Vargo E, Bauza S, Jellema LM: Vertebral alterations in Scheuermann’s kyphosis. Spine 1991; 16(5): 504-515.
Taylor TC, Wenger DR, Stephen J, Gillespie R, Bobechko WP: Surgical management of thoracic kyphosis in adolescents. J Bone Joint Surg Am 1979; 61(4): 496-503.
Wenger DR, Frick SL: Scheuermann´s kyphosis. Spine 1999; 24(24): 2630-2639.
Wood KB, Garvey TA, Gundry C, Heithoff KB: Magnetic resonance imaging of the thoracic spine. Evaluation of asymptomatic individuals. J Bone Joint Surg Am 1995; 77(11): 1631-1638.
>Acta Ortopédica Mexicana
>Year 2003, Issue 5