X-ray

X-rays are the diagnostic tool of choice in Scheuermann’s disease. An MRI and a CT can also be used for a more precise assessment. The malformation of the vertebral bodies can be clearly seen in the X-ray image.

The disease can be judged particularly in the lateral view of the spinal column. Different stages can be classified. In the first stage the growth disturbances are only marginally visible, in the following second stage clear changes can be seen (e.g. Schmorl’s corpuscles: as a consequence of the changed growth, disc material breaks into the vertebral bodies). In the third stage, the wedge-shaped vertebrae are visible.An angle can be determined in the X-ray image, the so-called Cobb angle, which provides information about the severity of the deformity and is important for monitoring the progress and planning the therapy.

OP

Surgical treatment of Scheuermann’s disease is rarely performed in cases of severe curvature. Aesthetic reasons, severe chronic pain as well as breathing restrictions can be the cause. There are a large number of different surgical options, which are discussed individually with the patient.

Usually, the operation involves straightening the spine and fixing the spine with screws and plates. Following the so-called straightening osteotomy, it may be necessary to stabilize the spine with a corset for a few weeks. The subsequent physiotherapeutic treatment aims to train the muscles in the surrounding area and maintain mobility in the non-fixed spinal column sections.

What is Scheuermann’s disease?

Scheuermann’s disease is a very common disease of the spine. It already occurs in adolescence. In contrast to Bekhterev’s disease, Scheuermann’s disease is a growth disorder of the vertebral bodies, which can lead to the formation of so-called wedge vertebrae.

The altered shape of the vertebral bodies results in a typical malposition. If Scheuermann’s disease occurs in the thoracic spine (BWS), which is the most common form, a hunchback develops. In conjunction with a compensatory malposition of the lumbar spine, a hollow rounded back can also occur.

If Scheuermann’s disease affects the lumbar spine, the formation of wedge vertebrae leads to a lifting of the natural hollow back (lordosis) and to a flattening of the lumbar spine. Incorrect posture of the spinal column can result in restricted movement, nerves can be damaged by unphyisiological loading and compression, and breathing can be restricted by the constriction of the thorax. Physiotherapy for Scheuermann’s disease is usually performed conservatively. Early detection favors the success of therapy. Aids such as a corset may be considered in severe cases, and surgery is performed as rarely as possible.