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Scheuermanns sykdom

Sist revidert:
Sist revidert av:


Definisjon:
Juvenil osteokondrose hvor tre eller flere ryggvirvler har en kilefasong på 5º eller mer og med utvikling av torakal kyfose
Forekomst:
Opptrer oftest hos gutter mellom 13 og 16 år, mot slutten av vekstperioden
Symptomer:
De fleste har lite smerter eller ubehag og søker lege på grunn av "dårlig holdning", rund rygg
Funn:
Det påvises økt torakal kyfose som ses best med pasienten foroverbøyd, lumbal lordosen kan dessuten være utrettet
Diagnostikk:
Røntgen bekrefter diagnosen
Behandling:
Det finnes ingen god behandling, men øvelsesbehandling tilrås
  1. Nigrovic PA. Back pain in children and adolescents: Overview of causes. UpToDate, last updated Sep 11, 2014. UpToDate  
  2. Nowak JE. Scheuermann disease. Medscape, last updated Feb 01, 2017. emedicine.medscape.com  
  3. Achar S, Yamanaka J. Back Pain in Children and Adolescents. Am Fam Physician. 2020 Jul 1;102(1):19-28. PMID: 32603067. PubMed  
  4. Horn SR, Poorman GW, Tishelman JC, et al. Trends in treatment of Scheuermann kyphosis: a study of 1,070 cases from 2003 to 2012. Spine Deform. 2019;7(1):100–106. PMID: 30587300. PubMed  
  5. Fotiadis E, Kenanidis E, Samoladas E, Christodoulou A, Akritopoulos P, Akritopoulou K. Scheuermann's disease: focus on weight and height role. Eur Spine J 2008; 17: 673-8. PubMed  
  6. Damborg F, Engell V, Andersen M, Kyvik KO, Thomsen K. Prevalence, concordance, and heritability of Scheuermann kyphosis based on a study of twins. J Bone Joint Surg Am 2006; 88: 2133. PubMed  
  7. Segatto E, Lippold C, Vegh A. Craniofacial features of children with spinal deformities. BMC Musculoskelet Disord. 2008 Dec 22. 9:169.
  8. Haveman LM, van Es HW, ten Berge-Kuipers M. Complaints of back pain in childhood: find curable causes. Ned Tijdschr Geneeskd 2008; 152: 353-8. PubMed  
  9. Kim HJ, Green DW. Adolescent back pain. Curr Opin Pediatr 2008; 20: 37. PubMed  
  10. Summers BN, Singh JP, Manns RA. The radiological reporting of lumbar Scheuermann's disease: an unnecessary source of confusion amongst clinicians and patients. Br J Radiol 2008; 81: 383-5. British Journal of Radiology  
  11. Bhatia NN, Chow G, Timon SJ, Watts HG. Diagnostic modalities for the evaluation of pediatric back pain: a prospective study. J Pediatr Orthop 2008; 28: 230-3. PubMed  
  12. de Mauroy J, Weiss H, Aulisa A, Aulisa L, Brox J, Durmala J, et al. 7th SOSORT consensus paper: conservative treatment of idiopathic & Scheuermann's kyphosis. Scoliosis. 2010 May 30. 5:9.
  13. Tsirikos AI, Jain AK. Scheuermann's kyphosis; current controversies. J Bone Joint Surg Br. 2011; 93: 857-64. PubMed  
  14. Lorente A, Barrios C, Lorente R, et al. Severe hyperkyphosis reduces the aerobic capacity and maximal exercise tolerance in patients with Scheuermann disease. Spine J. 2019;19(2):330–338. PMID: 30025996. PubMed  
  15. Palazzo C, Sailhan F, Revel M. Scheuermann's disease: an update. Joint Bone Spine. 2014 ;81(3):209-14. doi: 10.1016/j.jbspin.2013.11.012 DOI  
  16. Huq S, Ehresman J, Cottrill E, et al. Treatment approaches for Scheuermann kyphosis: a systematic review of historic and current management. J Neurosurg Spine. 2020;32(2):235–247. PMID: 31675699. PubMed  
  • Ingard Løge, spesialist i allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo