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Scheuermanns Disease Surgery Abroad

Overview

The section of spine from below the neck to the bottom of the rib cage is called the thoracic spine. From the side, the thoracic spine appears slightly rounded. Its shape is like the letter C with the opening facing the front of the body. This normal curve is called kyphosis. With excessive kyphosis, the thoracic spine takes on a hunchbacked appearance.

Scheuermann's disease (also called Scheuermann's kyphosis) is a condition that starts in childhood. It affects less than one percent of the population and occurs mostly in children by the age of 11. It affects boys and girls equally. Those who do not get proper treatment for the condition during childhood often experience back pain from the spinal deformity as adults...

This guide will help you understand : -

• how the problem develops
• how doctors diagnose the condition
• what treatment options are available...

Anatomy

What parts of the spine are involved ?

A healthy human spine has three gradual curves. From the side, the neck and low back curve gently inward. This is called lordosis. The thoracic kyphosis (outward curve) gives the mid back its slightly rounded appearance. These normal curves help the spine absorb forces from gravity and daily activities, such as lifting...

Causes

Why do I have this problem ?

Famed for discovering this disease, Scheuermann himself thought a lack of blood to the cartilage around the vertebral body caused the wedging. Though scientists have since disproved this theory, the root cause of the disease is still unknown...

Other theories of how Scheuermann's kyphosis starts include : -

• genetics
• childhood osteoporosis
• mechanical reasons...

Symptoms

What does the condition feel like ?

Hunched posture in children usually alerts parents or teachers to the need for a doctor visit. Children don't typically complain of back pain or other symptoms.

This is not the case in adolescents who are nearing puberty and have kyphosis in the lowest part of the thorax, near the bottom of the rib cage. In these patients, back pain is the overriding problem. This happens most often to young, active males. Doctors suspect this unique form of the disease occurs because the condition is overlooked during childhood, delaying treatment...

Diagnosis

How do doctors diagnose the problem ?

Doctors start with a complete history and physical examination. However, X-rays are the main way to diagnose Scheuermann's kyphosis. Taken from the side, an X-ray may show vertebral wedging, Schmorl's nodes, and changes in the vertebral end plates. Doctors use X-ray images to measure the angle of kyphosis. Doctors diagnose Scheuermann's disease when three vertebrae in a row wedge five degrees or more and when the kyphosis angle is greater than 45 degrees...

What treatment options are available ?

Nonsurgical Treatment

A child or youth with mild kyphosis may simply need to be observed. Unless the curve or pain becomes worse, no other treatment may be needed. Some children who don't require treatment eventually improve and have no long-term problems. Others may always have a mild thoracic kyphosis but are able to function normally without pain or other problems...

Surgery

Surgeons rarely recommend surgery for Scheuermann's disease. Certain situations may require it, however. For example, surgery may be needed if pain becomes severe and doesn't go away with nonoperative treatment. Patients whose skeletons are done growing may require surgery. Patients with a rigid kyphosis that angles more than 75 degrees may also need surgery...

Two procedures commonly used to treat thoracic kyphosis are : -

• posterior fusion
• combined fusion...

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Article Source: ArticlesBase.com - Scheuermanns Disease Surgery Abroad At Affordable Cost- Scheuermanns

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