Orthopaedic management of Scheuermann's

[DublinPauline]

In case this is of interest, especially to you Mark...

The Orthopaedic management of Scheuermann's kyphosis

http://www.iol.ie/~rcsiorth/journal/...issue1/sch.htm
Irish Journal of Orthopaedic Surgery and Trauma
Volume 5, Issue 1 2000


May be way out of date, of course.

Pauline

[mark]

Orthopedic management of Scheuermann's

Very interesting document

mark

[mark]

Bracing

It it from the http://www.srs.org we bsite in the research paper section

http://www.srs.org/professionals

Grrrrrrrrrrr i hate the internet you can never do what you tell it to

[mark]

If i can't manage to link it i may have upload it into the download section. Ignore me i'm just thinking aloud

mark

[titch]

Just to let you know, the first link works fine for me, it is just that if you are not on broadband it may appear not to have worked immediately because it is a 2mb file, so will take several minutes to download.

[mark]

Cool its working for me too today maybe i should have a little more patience and refrain from pushing buttons

enjoy the paper it's an interesting one

[jamiebug44]

i have that

[mark]

I thought you suffered from scoliosis jamie do you have a degree of kyphosis as well

[jamiebug44]

is kyphasis scoliosis i am not sure?ihave 2 cruvers top lumber and bottom can't remeber

[Jonny]

Kyphosis is where your back curves outwards too much. I don't think you have it Jamie

[mark]

Hello Jamie, i think if you had any degree of kyphosis your Dr would have told you

[mark]

An Alternative Bracing Approach to Scheuermann's Disease: A Case Study
Miguel Gomez, MD
Patrick Flanagan, CO
Thomas Gavin, CO

ABSTRACT
Scheuermann's disease manifests itself as a thoracic or thoracolumbar kyphosis classically characterized by anterior wedging of 5 degrees or more of three adjacent thoracic vertebral bodies. Bracing has been shown to be effective in controlling a progressive curve in the adolescent patient. These adolescent patients typically present for medical attention because of pain or cosmetic deformity or both. Early treatment may be limited to observation and exercises, whereas patients who have kyphosis of up to 75 degrees and growth remaining may benefit from bracing. For the more common thoracic form with apices superior to T8, the Milwaukee brace's effectiveness has been documented and is usually the treatment of choice. This purpose of this article is to document a case for the treatment of the thoracic form of Scheuermann's disease (apice T6-7) with an underarm thoracolumbosacral orthosis. A custom thoracolumbosacral orthosis was measured and fabricated as an alternative to the Milwaukee brace to treat a 71-degree kyphosis with an apice of T6-T7. Initial in brace correction was 49%. At a fourteen-month follow-up, out-of-brace correction was maintained at 27% of the original kyphosis. These results indicate that a thoracolumbosacral orthosis may be a viable alternative to the Milwaukee brace in treating Scheuermann's disease with high apices


below is the link to the full study

here


I DON'T LIKE THE CONSTANT REFERENCE TO DISEASE. SCHEUERMANN'S ISN'T SOMETHING YOU CATCH DOWN AT THE SWIMMING POOL

[zerodegrees]

lets campaign to have it reclassified!

[mark]

I think we need to John because i don't know about you but i don't feel diseased

[mark]

Twenty-one patients with Scheuermann's kyphosis had surgery for progressive kyphotic deformity of 50[degrees] or greater. There were six adolescents, with a mean age of 15.6 years (range, 13-17 years) and 15 young adults, with a mean age of 25.4 years (range, 18-40 years). All patients had posterior spine arthrodesis with segmental compression instrumentation. Seven patients with rigid kyphosis had combined anterior and posterior spine arthrodesis. One patient died of superior mesenteric artery syndrome. In the group of 13 patients with posterior arthrodesis only, followup was 4.5 years. The mean preoperative thoracic kyphotic curve of 68.5[degrees] improved to 40[degrees] at latest review, with an average loss of correction of 5.75[degrees] . Junctional kyphosis occurred in two patients with a short arthrodesis: one at the cephalad end and one at the caudal end of the fused kyphotic curve. In the second group of seven patients with combined anterior and posterior arthrodesis, followup was 6 years. The mean preoperative thoracic kyphotic curve of 86.3[degrees] improved to 46.4[degrees] at latest review, with an average loss of correction of 4.4[degrees]. Overall, there was no postoperative neurologic deficit and no pseudarthrosis. Thus, posterior arthrodesis and segmental compression instrumentation seems to be effective for correcting and stabilizing kyphotic deformity in Scheuermann's disease. Despite a long operating time, this technique provided significant correction, avoiding the development of any secondary deformity in most patients. Combined anterior and posterior spine arthrodesis is recommended for rigid, more severe kyphotic deformities.