Scheuermann's disease is a spinal deformity in which the front of the spine does not grow as quickly as the back, causing excessive curvature of the thoracic spine (kyphosis). It typically occurs during periods of bone growth between ages 12-14. Symptoms may include back pain, difficulty breathing, and muscle spasms. Treatment depends on the degree of curvature but may include exercises, bracing, medication, or surgery to reduce the deformity.

1. Scheuermann’s Disease
BY RAFI AL-SHAMRANI

2. outline
 Anatomy
 Disorder
 Treatment

3. Anatomy

6. Disorder

7. Definition
 Scheuermann’s disease (juvenile kyphosis) is a deformity in the thoracic or thoracolumbar
spine in which pediatric patients have an increased kyphosis along with backache and
localized changes in the vertebral bodies. It occurs during periods of bone growth
 It occurs when the front of the spine doesn't grow as fast as the back of the spine and This
causes the thoracic spine to curve more than normal. Patients become stooped forward with
a bent-over posture. curves too much (more than 40-45 degrees)
 Leading to a vertebra with a distinct wedge shape.
 commonly diagnosed between the ages of 12 to 14 years of age

14. Causes
 The exact causes of Scheuermann's kyphosis are still unknown
 Hereditary factors are thought to play a part in the pathophysiology
 Height and weight may also be contributing factors as secondary.

15. Sings and symptoms
 Pain
 A rigid curve of the spine that gets worse when bending forward and only partially corrects
itself when standing
 Muscle spasms or muscle cramps
 Chest pain or difficulty breathing caused by decreased lung capacity; only in rare
circumstances

16. Complications
 Chronic back pain
 Progressive deformity
 Neurologic deficits.
 Cardiorespiratory problems.

17. DIAGNOSIS
 Diagnosis is typically by medical imaging.
 X-Ray
 MRI may also be necessary to exclude intra-spinal abnormalities or cord
compression at the apex of the kyphosis.

20. Examination
 ROM
 Observation
 Palpation

22. TREATMENT

23. Management
 Management is largely dependent on the degree of kyphosis
 <50˚: conservative management
 50-75˚: brace
 >75˚: surgery

24. Medical treatment
Medication such as:
 NSAID(for pain management )
Surgery:
 Posterior spinal fusion
 The goal of the surgery is mainly to reduce the deformity, and possibly
lessen pain or neurological symptoms.
 Rarely used

27. Physiotherapy
Modalities: for pain management
 Cryotherapy
 Thermotherapy
 Electrotherapy
 ShortWave

28. Physiotherapy
 Physiotherapy is recommended in combination with bracing
 Exercises appear to maximize the effect of the brace by strengthening muscles that
help align the spine
 Mainly focusing on posture

29. Exercises
 Stretching exercises
 Strengthen exercises
 Postural Exercises

30. Upper Back Stretches

31. Hamstring stretch

32. Upper Back Strengthening

33. Postural Exercises

34. Bracing
 Thoracolumbar brace such as: Gschwend type brace and kyphologic™ brace
 only used for patients who are still growing and is not an effective treatment
for adult patients.

35. Gschwend type brace kyphologic™

36. References
1. http://www.scoliosissos.com/news/FILES%2F2016%2F06%2Fwedge-vertebrae.jpg.axdx
2. http://restoreorthopedics.com/wp-content/uploads/2016/06/search.jpg
3. https://www.spineuniverse.com/conditions/kyphosis/scheuermanns-kyphosis-scheuermanns-disease
4. http://emedicine.medscape.com/article/311959-overview
5. https://patient.info/doctor/scheuermanns-disease#ref-4
6. https://radiopaedia.org/articles/scheuermann-disease-2
7. https://en.wikipedia.org/wiki/Scheuermann%27s_disease
8. https://www.spineuniverse.com/conditions/kyphosis/scheuermanns-kyphosis-scheuermanns-disease
9. http://physioworks.com.au/injuries-conditions-1/scheuermanns-disease
10. https://www.srs.org/professionals/online-education-and-resources/conditions-and-treatments/kyphosis-in-the-adolescent-and-young-
adult
11. https://www.spine-health.com/conditions/spinal-deformities/nonsurgical-treatments-scheuermanns-disease
12. http://www.advantagephysiotherapy.com/Injuries-Conditions/Upper-Back-and-Neck/Upper-Back-Issues/Scheuermann-s-
Disease/a~5944/article.html
13. https://www.spinemd.com/symptoms-conditions/kyphosis
14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2761858/
15. https://www.physioadvisor.com.au
16. https://www.youtube.com/watch?v=cnkRfVQWuHY
17. https://www.youtube.com/watch?v=0n69ylZKUL8