Scheuermann's disease - Mau
Scheuermann's disease - Mau (progressive deforming dorsopathies, juvenile kyphosis) - a disease that occurs or in the thoracic spine, or at the junction of the lumbar and thoracic.According to statistics this pathology have about five percent of the population.The likelihood of developing this disease in men two times more than women.
Scheuermann's disease - Mau implies a deviation from the natural curves of the spine angles from 45 to 75 degrees (normal mode from 20 to 40 degrees).Because of this, the load on the spine changes, resulting in deformation of the vertebral bodies and possibly the formation of such anomalies as the hernia SHmorlja.In addition, Scheuermann's disease - Mau leads to thickening of the ligaments due to which there is abnormal development of the spine during the growth of the body, which later often ends with a wedge-shaped deformation
unambiguous answer to the question about the causes of this diseaseIt has not yet been found,
The most common theory:
- " Aseptic necrosis " circular pieces of cartilage of the vertebral bodies (the assumption pediatric radiology Scheuermann)
- Impact on the spine traumatic
- overgrowth of bone tissue in certain areas of the vertebral bodies
- Hereditary predisposition
Symptoms The first symptoms of the disease usually develops in adolescence at puberty (10 to 15 years).In most cases, the disease is found by chance when parents begin to celebrate poor posture and slouching in a child.At the same time the teenager begins to complain of discomfort in his back after a long sitting.In some cases, there is pain between the shoulder blades.The spine becomes rigid (difficult extension and tilt back).
In severe disease is possible compression of the nerve roots or the spinal cord, as well as the development of disorders of the heart and lungs
Initially, the doctor needs to find out where was the beginning of the disease, whether there is the disease in relatives and whether comorbidities.
is mandatory patient is assigned to X-ray that can detect the presence of hernias SHmorlja and the degree of deviation of the spine on its axis.
In the presence of neurological symptoms appointed Computed tomography (CT) and magnetic - resonance imaging (MRI).
Scheuermann's disease is caused by a characteristic deformation, which affects at least three vertebrae
- Drug therapy
- Wearing a special corset (reduces painsyndrome)
Surgical treatments are applied only in cases where the deviation angle is over 75 degrees, which leads to dysfunction of the heart and respiratory system.