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Scheuermann's Kyphosis

Scheuermann's kyphosis is an abnormal spinal curvature syndrome which is also commonly known as Scheuermann's disease or Calvé disease (it is NOT a disease…). The condition is a form of juvenile spinal osteochondrosis which can be congenital or early developmental. Like most other forms of kyphosis, the condition almost always affects the thoracic spine as its primary area of influence, creating visual deformity and possibly, functional impairment.

What is Scheuermann's Kyphosis?

Scheuermann's is characterized like many other forms of thoracic kyphosis. The patient will demonstrate an abnormally severe curvature in the upper back, similar to a hunch or hump. Posture will be very poor, with the body bent forward to one degree or another and the neck and chin pushed forward at an awkward angle. The patient will not be able to easily adjust this posture for the better, although with special back exercises and physical therapy, they may be able to prevent it from getting worse. The causes of Scheuermann's are not fully understood, with a variety of theories circulating in the various medical communities. Currently, the disorder is mostly considered idiopathic. It should be known that Scheuermann's comes in all varieties from mild to extreme and debilitating. Some cases progress, while others are completely stable.

Scheuermann's Disease Concerns

Besides the postural issues associated with Scheuermann's, there are a number of sometimes more serious factors to consider:

* Advanced cases may prevent much physical activity due to poor balance issues. Additionally, compression of internal organs is possible and may affect the heart, lungs and other organs, causing serious health consequences. This is often the main reason cited for aggressive surgical treatment.

* Back pain is possible in some cases, but many patients do not have any discomfort. Minor cases blamed for causing pain are almost always misdiagnosed, but obviously, advanced cases can be terribly symptomatic on rare occasion.

Scheuermann's Kyphosis Advice

Most cases of Scheuermann's are mild and not problematic. Severe cases will be visually obvious and present the possibility for chronic back pain, limited physical functionality and the very real possibility for organ damage and eventual failure. Treatment for minor cases is mostly used to increase function and prevent deterioration of the condition. The modalities used include specialized and general physical therapy practices and sometimes, complementary care, such as chiropractic.

Bracing may be useful in some instances. For severe cases, surgical treatment is often indicated, but should only be utilized in the most symptomatic circumstances, since the type of spinal fusion used is the most brutal and invasive possible.

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