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Last update 08 May 2025

Scheuermann Disease

Last update 08 May 2025

Basic Info

Synonyms

Adolescent Hyperkyphoses, Adolescent Hyperkyphosis, Adolescent Kyphoses

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Introduction

A type of juvenile osteochondrosis affecting the fibrocartilaginous disc (INTERVERTEBRAL DISC) in the thoracic or thoracolumbar region of the SPINE. It is characterized by a forward concave SPINAL CURVATURE or KYPHOSIS.

Clinical Trials associated with Scheuermann Disease

NCT06907914

/ Not yet recruitingNot ApplicableIIT

The Effect of Schroth Exercises on Scapular Muscle Activation in Children With Thoracic Hyperkyphosis

This randomized controlled trial aims to investigate the effects of Schroth exercises on scapular muscle activation in children with thoracic hyperkyphosis. A total of 56 participants will be randomly assigned to either the Schroth exercise group or the control group receiving postural education. The intervention group will complete an 8-week supervised Schroth program focusing on three-dimensional correction, rotational breathing, and postural awareness. Primary outcome is scapular muscle activation measured by surface EMG. Secondary outcomes include muscle strength, scapular endurance, kyphotic appearance, posture, and pain. The results will guide clinical management and preventive strategies for children with postural thoracic hyperkyphosis.

Start Date01 May 2025

Sponsor / Collaborator-

IRCT20190220042778N1

/ RecruitingPhase 2IIT

Comparison of two methods in selecting the lowest fused vertebra in patients with Scheuermann's kyphosis based on complications

Start Date05 Jan 2024

Sponsor / Collaborator

Isfahan University of Medical Sciences

NCT06082739

/ RecruitingNot ApplicableIIT

Effectiveness of Various Exercises in Managing Kyphosis

The primary objective of this study is to determine if stretching exercises as a conservative treatment option will correct kyphosis in postural and Scheuermann's kyphosis.

Start Date06 Nov 2023

Sponsor / Collaborator

Cedars-Sinai Medical Center

100 Clinical Results associated with Scheuermann Disease

100 Translational Medicine associated with Scheuermann Disease

0 Patents (Medical) associated with Scheuermann Disease

986

Literatures (Medical) associated with Scheuermann Disease

01 Jun 2025·Clinical Neurology and Neurosurgery

Revision surgery for proximal junctional failure: A single-center analysis

Article

Author: Adida, Samuel ; Shanahan, Regan M ; Mitha, Rida ; Hamilton, D Kojo ; Colan, Jhair A ; Agarwal, Nitin ; Okonkwo, David O ; Hudson, Joseph S ; Jawad-Makki, Mohamed-Ali H ; Buell, Thomas J ; Taori, Suchet ; Legarreta, Andrew D

BACKGROUNDProximal junctional kyphosis (PJK) is a radiographic complication following adult spinal deformity (ASD) surgery due to degeneration of mobile segments adjacent to fused spine. Proximal junctional failure (PJF) represents PJK with structural failure, neurologic deficit, or mechanical instability warranting revision with extension of fusion above the uppermost instrumented vertebra (UIV). This study investigates the clinical presentation, mechanisms of failure, revision strategies, and outcomes for ASD patients who develop PJF after instrumented fusion to the pelvis.METHODSFifty-four ASD patients who developed PJF after a posterior instrumented fusion to the pelvis at a single institution from 2009 to 2021 were analyzed. PJF was defined by radiographic PJK with (1) UIV or UIV+1 fracture, UIV screw pullout, or soft-tissue posterior ligamentous disruption, and (2) neurological deficit at presentation.RESULTSThe cohort was stratified into upper thoracic (UT, 10 patients, T2-T6), lower thoracic (LT, 35 patients, T8-T11), and lumbar (L, 9 patients, L1-L3) spine UIV groups based on index surgery. Patients developed PJF at a median of 14 months (mean 18 ± 16, range: 1-78) after their index surgery. Neurological deficits at presentation included radiculopathy (61 %), myelopathy (48 %), motor deficits (33 %), and bowel or bladder incontinence (9 %). Mechanisms of PJF were vertebral fracture and screw pullout (UT: 50 %, LT: 80 %, L: 89 %, P < 0.001) or soft-tissue disruption (UT: 50 %, LT: 20 %, L: 11 %, P = 0.089) at the UIV. Revision surgery commonly involved posterior column osteotomies (63 %) rather than three-column osteotomies (9 %). Of patients in the UT group, 40 % were extended above the cervicothoracic junction. In the LT and L groups, 91 % and 89 % of patients were extended to the UT and LT spine, respectively. Median follow-up for the cohort after revision for PJF was 24 months (range: 2-89). A total of 26 patients (48 %) required a second revision surgery (median 14 months, range: 1-50), 16 of whom (28 %) were revised for recurrent PJF. Patient-specific and radiographic risk factors for recurrent PJF could not be elucidated.CONCLUSIONIn this series of ASD patients, after revision for PJF, recurrent PJF was the most common complication requiring another revision. Junctional failures tended to be vertebral body fracture and screw pullout in the LT and L spine and soft tissue disruption in the UT spine. Most revisions involved posterior column osteotomies with proximal extension across the thoracolumbar junction or apex of thoracic kyphosis (e.g., L to LT, LT to UT); notably, nearly half of UT failures were not extended to the cervical spine. Future research is warranted to elucidate risk factors for recurrent PJF and potential preventative strategies.

01 May 2025·Spine Deformity

Offset sublaminar hook is an efficient tool for the prevention of distal junctional failure after kyphotic deformity correction

Article

Author: Bourghli, Anouar ; Larrieu, Daniel ; Boissiere, Louis ; Obeid, Ibrahim ; Almusrea, Khaled ; Konbaz, Faisal

PURPOSETo assess the radiological outcomes and complications focusing on distal junctional failure (DJF) of adult spinal deformity patients who underwent thoracolumbar fixation with the use of offset sublaminar hooks (OSH) distally.METHODSRetrospective review of a prospective, multicenter adult spinal deformity database (2 sites). Inclusion criteria were age of at least 18 years, presence of a spinal deformity with thoraco-lumbar instrumentation ending distally with OSH (pelvis excluded), with minimum 2 years of follow-up. Demographic data, spinopelvic parameters, functional outcomes and complications were collected. Data was analyzed using descriptive statistics. Statistical significance was set to p < 0.05.RESULTS32 patients met the inclusion criteria, with the main etiologies being Scheuermann kyphosis and post-traumatic kyphosis. There was a significant correction of thoracic or thoraco-lumbar kyphosis (from 83° to 45° in case of posterior column osteotomy, p < 0.001, and from 49° to 11° in case of a three-column osteotomy, p < 0.001). DJF occurred in 9.3% of the patients including 1 patient who presented distal hook dislodgement and 2 patients who presented a compression fracture below the lowest instrumented vertebra. Oswestry Disability Index score improved in the majority of the patients (from 34.3 to 18.1, p < 0.05).CONCLUSIONSThis is the first paper to propose offset sublaminar hook as a safe and efficient tool for protection of the distal end of the construct in kyphotic ASD surgery when not going down to the pelvis. It showed satisfactory radiological and clinical outcome with an acceptable rate of complications and no distal junctional failure that required revision surgery.

01 May 2025·Operative Neurosurgery

A Spinal Realignment Technique for Correction of Adolescent Distal Junctional Kyphosis: 2-Dimensional Operative Video

Article

Author: Grabala, Pawel ; Galgano, Michael ; Chamberlin, Kelly ; Gilbert, Olivia E.

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Scheuermann Disease

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