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Radiological imaging findings of scheuermann disease

View Article: PubMed Central - PubMed

ABSTRACT

Aim: To find accompanying anomalies of typical and atypical Scheuermann’s disease (SD) is reported in the present study.

Methods: Study included 20 patients (16 men and 4 women) who had radiological imaging radiography, magnetic resonance imaging (MRI) and computed tomography, if available, due to back pain, curved back and low back pain in November 2011-February 2016 period. Patients were categorized into typical and atypical patterns based on the region involved. Thoracic kyphosis values were measured using real Cobb angle. Accompanying disc degeneration, herniations and spinal cord pathologies were studied using MRI.

Results: Age of the patients ranged from 11.0 to 23.0 (mean 17.2 ± 3.0). Typical pattern of SD were detected in 15 patients while atypical pattern were detected in 5 patients. Cobb angle range was 40.2-67.2 (mean 55.5 ± 8.7) in typical Scheuermann’s patients and 24.7-49.9 (mean 36.7 ± 10.8) in atypical ones. Intervertebral level was affected and had the measures of 3-8 (mean 5.3 ± 1.6) and 7-9 (mean 8.2 ± 0.8) in typical and atypical Scheuermann’s patients, respectively. Level of degenerative disc disease in MRI was 1-7 discs (mean 4.1 ± 1.7) in typical patients and 5-10 discs (mean 7.6 ± 1.9) in atypical patients.

Conclusion: SD can be seen in typical and atypical patterns, typical being more frequent. Because degenerative disc diseases, herniations and cord pathologies such as syringomyelia can accompany SD (albeit more common in atypical pattern), it is necessary to evaluate these patients with plain radiography and MRI together.

No MeSH data available.


Illustration of Cobb angle in lateral radiography (Patient no: 17). Cobb angle: 55.3°.
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Figure 1: Illustration of Cobb angle in lateral radiography (Patient no: 17). Cobb angle: 55.3°.

Mentions: The present retrospective study included 20 patients (16 male and 4 female) who had radiological imaging taken at Radiology Department of Gaziosmanpaşa University Medical School due to back pain, curved back and low back pain complaints in November 2011-February 2016 period. After taking the approval of local ethic committee (No. 15-KAEK-156), radiological images of the patients were obtained from Picture Archiving and Communication System (PACS, GE). All patients had direct radiographies and eight of them had cervical, thoracic and lumbar magnetic resonance imaging (MRI), seven had thoracic MRI, two of which were contrasted, three had thoracic and lumbar MRI, one had cervical and lumbar MRI and one had thoracic MRI and lumbar CT. Based on Sørenson’s definition in radiological examinations, wedging over an angle of 5° in three or more vertebrae, kyphosis over 40° in sagittal plane and irregularities in vertebra endplates were considered typical SD[1]. Level of thoracic curve was determined based on measurement of Cobb angle (real Cobb angle is the angle between upper and plate of the most curved vertebra at the top and lower endplates of the most curved vertebra at the bottom) (Figure 1). The cases with thoracic involvement only (including T12-L1 level) were considered typical, whereas ones with thoracolumbar or lumbar involvement were considered atypical. Level where the apex of kyphosis was exactly located was examined. MRI was used to study accompanying degenerative disc disease, herniations and spinal cord pathologies (syringomyelia, etc.). Signal reduction of more than 50% in T2 series of intervertebral discs in MRI was considered in favor of degenerative disc disease.


Radiological imaging findings of scheuermann disease
Illustration of Cobb angle in lateral radiography (Patient no: 17). Cobb angle: 55.3°.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120249&req=5

Figure 1: Illustration of Cobb angle in lateral radiography (Patient no: 17). Cobb angle: 55.3°.
Mentions: The present retrospective study included 20 patients (16 male and 4 female) who had radiological imaging taken at Radiology Department of Gaziosmanpaşa University Medical School due to back pain, curved back and low back pain complaints in November 2011-February 2016 period. After taking the approval of local ethic committee (No. 15-KAEK-156), radiological images of the patients were obtained from Picture Archiving and Communication System (PACS, GE). All patients had direct radiographies and eight of them had cervical, thoracic and lumbar magnetic resonance imaging (MRI), seven had thoracic MRI, two of which were contrasted, three had thoracic and lumbar MRI, one had cervical and lumbar MRI and one had thoracic MRI and lumbar CT. Based on Sørenson’s definition in radiological examinations, wedging over an angle of 5° in three or more vertebrae, kyphosis over 40° in sagittal plane and irregularities in vertebra endplates were considered typical SD[1]. Level of thoracic curve was determined based on measurement of Cobb angle (real Cobb angle is the angle between upper and plate of the most curved vertebra at the top and lower endplates of the most curved vertebra at the bottom) (Figure 1). The cases with thoracic involvement only (including T12-L1 level) were considered typical, whereas ones with thoracolumbar or lumbar involvement were considered atypical. Level where the apex of kyphosis was exactly located was examined. MRI was used to study accompanying degenerative disc disease, herniations and spinal cord pathologies (syringomyelia, etc.). Signal reduction of more than 50% in T2 series of intervertebral discs in MRI was considered in favor of degenerative disc disease.

View Article: PubMed Central - PubMed

ABSTRACT

Aim: To find accompanying anomalies of typical and atypical Scheuermann’s disease (SD) is reported in the present study.

Methods: Study included 20 patients (16 men and 4 women) who had radiological imaging radiography, magnetic resonance imaging (MRI) and computed tomography, if available, due to back pain, curved back and low back pain in November 2011-February 2016 period. Patients were categorized into typical and atypical patterns based on the region involved. Thoracic kyphosis values were measured using real Cobb angle. Accompanying disc degeneration, herniations and spinal cord pathologies were studied using MRI.

Results: Age of the patients ranged from 11.0 to 23.0 (mean 17.2 ± 3.0). Typical pattern of SD were detected in 15 patients while atypical pattern were detected in 5 patients. Cobb angle range was 40.2-67.2 (mean 55.5 ± 8.7) in typical Scheuermann’s patients and 24.7-49.9 (mean 36.7 ± 10.8) in atypical ones. Intervertebral level was affected and had the measures of 3-8 (mean 5.3 ± 1.6) and 7-9 (mean 8.2 ± 0.8) in typical and atypical Scheuermann’s patients, respectively. Level of degenerative disc disease in MRI was 1-7 discs (mean 4.1 ± 1.7) in typical patients and 5-10 discs (mean 7.6 ± 1.9) in atypical patients.

Conclusion: SD can be seen in typical and atypical patterns, typical being more frequent. Because degenerative disc diseases, herniations and cord pathologies such as syringomyelia can accompany SD (albeit more common in atypical pattern), it is necessary to evaluate these patients with plain radiography and MRI together.

No MeSH data available.