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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.


Related in: MedlinePlus

Eighteen years old male patient with atypical Scheuermann’s disease (Patient no: 3). Sagittal plane (A) T2 weighted (B) T1 weighted (C and D) axial plane T2 weighted magnetic resonance imaging A and B: Thoracic 7-8, T9-L2 endplate irregularities, Schmorl nodules (white arrows) and degeneration signals in discs are shown; C and D: Posterior central protrusion (white arrow) and diffused bulging are shown.
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Figure 7: Eighteen years old male patient with atypical Scheuermann’s disease (Patient no: 3). Sagittal plane (A) T2 weighted (B) T1 weighted (C and D) axial plane T2 weighted magnetic resonance imaging A and B: Thoracic 7-8, T9-L2 endplate irregularities, Schmorl nodules (white arrows) and degeneration signals in discs are shown; C and D: Posterior central protrusion (white arrow) and diffused bulging are shown.

Mentions: 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 varied from 24.7 to 67.2 (mean 50.8 ± 12.7) in all patient population, while typical cases had Cobb angles from 40.2 to 67.2 (mean 55.5 ± 8.7) and atypical ones from 24.7 to 49.9 (mean 36.7 ± 10.8). Number of affected intervertebral levels in whole patient group varied from three to nine. In typical SD cases, range of affected levels was 3-8 (mean 5.3 ± 1.6) and in atypical ones 7-9 (mean 8.2 ± 0.8). Degenerative disc disease was at 1-7 level in typical SD cases (mean 4.1 ± 1.7) and 5-10 (mean 7.6 ± 1.9) in atypical ones. Demographic features of the patients, involvement levels and numbers, Cobb angles, degenerative disc disease and accompanying MRI findings were given in Table 1. Radiological images of SD patients with typical pattern were given in Figure 2, Figure 3, Figure 4, Figure 5, and those of SD patients with atypical pattern were given in Figures 6, Figure 7, Figure 8, Figure 9, Figure 10.


Radiological imaging findings of scheuermann disease
Eighteen years old male patient with atypical Scheuermann’s disease (Patient no: 3). Sagittal plane (A) T2 weighted (B) T1 weighted (C and D) axial plane T2 weighted magnetic resonance imaging A and B: Thoracic 7-8, T9-L2 endplate irregularities, Schmorl nodules (white arrows) and degeneration signals in discs are shown; C and D: Posterior central protrusion (white arrow) and diffused bulging are shown.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: Eighteen years old male patient with atypical Scheuermann’s disease (Patient no: 3). Sagittal plane (A) T2 weighted (B) T1 weighted (C and D) axial plane T2 weighted magnetic resonance imaging A and B: Thoracic 7-8, T9-L2 endplate irregularities, Schmorl nodules (white arrows) and degeneration signals in discs are shown; C and D: Posterior central protrusion (white arrow) and diffused bulging are shown.
Mentions: 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 varied from 24.7 to 67.2 (mean 50.8 ± 12.7) in all patient population, while typical cases had Cobb angles from 40.2 to 67.2 (mean 55.5 ± 8.7) and atypical ones from 24.7 to 49.9 (mean 36.7 ± 10.8). Number of affected intervertebral levels in whole patient group varied from three to nine. In typical SD cases, range of affected levels was 3-8 (mean 5.3 ± 1.6) and in atypical ones 7-9 (mean 8.2 ± 0.8). Degenerative disc disease was at 1-7 level in typical SD cases (mean 4.1 ± 1.7) and 5-10 (mean 7.6 ± 1.9) in atypical ones. Demographic features of the patients, involvement levels and numbers, Cobb angles, degenerative disc disease and accompanying MRI findings were given in Table 1. Radiological images of SD patients with typical pattern were given in Figure 2, Figure 3, Figure 4, Figure 5, and those of SD patients with atypical pattern were given in Figures 6, Figure 7, Figure 8, Figure 9, Figure 10.

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.


Related in: MedlinePlus