ScheuermannÕs kyphosis Lồng ngực biến dạng cấu trúc là một cổ điển đặc trưng bởi chèn trước của 5 độ hoặc nhiều đốt sống liền kề ngực của ba cơ quan. Kết quả chụp ảnh phóng xạ của Trung SchmorlÕs các nút, thu hẹp ENDPLATE, và ENDPLATE không đều xác định chẩn đoán. | Scheuermann s Kyphosis in Adolescents and Adults Diagnosis and Management Clifford B. Tribus MD Abstract Scheuermann s thoracic kyphosis is a structural deformity classically characterized by anterior wedging of 5 degrees or more of three adjacent thoracic vertebral bodies. Secondary radiographic findings of Schmorl s nodes endplate narrowing and irregular endplates confirm the diagnosis. The etiology remains unclear. Adolescents typically present to medical attention because of cosmetic deformity adults more commonly present because of increased pain. The indications for treatment are similar to those for other spinal deformities namely progression of the deformity pain neurologic compromise and cosmesis. The adolescent with pain associated with Scheuermann s kyphosis usually responds to physical therapy and a short course of anti-inflammatory medications. Bracing has been shown to be effective in controlling a progressive curve in the adolescent patient. For the adult who presents with pain the early mainstays of treatment are physical therapy anti-inflammatory medications and behavioral modification. In patients either adolescent or adult with a progressive deformity refractory pain or neurologic deficit surgical correction of the deformity may be indicated. Surgical correction should not exceed 50 of the initial deformity. Distally instrumentation should be extended beyond the end vertebral body to the first lordotic disk to prevent the development of distal junctional kyphosis. J Am Acad Orthop Surg 1998 6 36-43 In 1920 Scheuermann first described the entity of structural thoracic kyphosis that now bears his name. The clinical condition of ScheuermannÕs kyphosis has widely variable presentations that do not necessarily correlate with the radiographic findings evaluation of a lateral thoracic radiograph is necessary to establish the diagnosis. Sorensen1 defined the radiographic diagnosis of Scheuermann s kyphosis on the basis of anterior wedging of 5 degrees or
