Publication: SUDDEN SEVERE NEUROLOGICAL DEFICIT IN SCHEUERMANN’S DISEASE: A CASE REPORT AND LITERATURE REVIEW
| dc.contributor.author | Zafer orkun Toktas | |
| dc.contributor.author | CAFER IKBAL GULSEVER | |
| dc.contributor.author | mehmetzeki Yildiz | |
| dc.contributor.author | Yasin BÖCÜ | |
| dc.contributor.institution | ÜSKÜDAR ÜNİVERSİTESİ | |
| dc.contributor.institution | İSTANBUL ÜNİVERSİTESİ | |
| dc.contributor.institution | BAHÇEŞEHİR ÜNİVERSİTESİ | |
| dc.contributor.institution | T.C. SAĞLIK BAKANLIĞI | |
| dc.date.accessioned | 2025-09-20T19:54:04Z | |
| dc.date.issued | 2025 | |
| dc.date.submitted | 12.08.2025 | |
| dc.description.abstract | Scheuermann’s disease is a spinal deformity that typically presents with back pain and cosmetic concerns. Neurological deficits are rare, particularly in adult patients without trauma or associated spinal pathology. We report the case of a 29-year-old female with a longstanding history of kyphosis, who presented with the onset of severe neurological deficits, including paraparesis and incontinence. Imaging revealed thoracic kyphosis with spinal cord compression at the apex without evidence of disc herniation or other spinal abnormalities. Surgical intervention using a posterior-only approach, including decompression and stabilization, was performed. Post-operative recovery was significant, with complete resolution of neurological symptoms at the one-year follow-up. This case underscores the importance of considering Scheuermann’s disease as a rare cause of severe neurological impairment. Advanced imaging modalities, such as diffusion tensor imaging, are valuable in detecting spinal cord involvement. Surgical decompression and kyphosis correction are critical for successful outcomes. | |
| dc.identifier.doi | 10.4274/jtss.galenos.2024.53825 | |
| dc.identifier.endpage | 51 | |
| dc.identifier.issn | 2147-5903 | |
| dc.identifier.issue | 1 | |
| dc.identifier.startpage | 47 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14719/4301 | |
| dc.identifier.volume | 36 | |
| dc.language.iso | en | |
| dc.relation.journal | Journal of Turkish Spinal Surgery | |
| dc.title | SUDDEN SEVERE NEUROLOGICAL DEFICIT IN SCHEUERMANN’S DISEASE: A CASE REPORT AND LITERATURE REVIEW | |
| dc.type | Case Report | |
| dcterms.references | 1. Sebaaly A, Farjallah S, Kharrat K, Kreichati G, Daher M. Scheuermann’s kyphosis: update on pathophysiology and surgical treatment. EFORT Open Rev. 2022,7:782-91.,2. Gokce E, Beyhan M. Radiological imaging findings of scheuermann disease. World J Radiol. 2016,8:895-901.,3. Bezalel T, Carmeli E, Been E, Kalichman L. Scheuermann’s disease: current diagnosis and treatment approach. J Back Musculoskelet Rehabil. 2014,27:383-90.,4. Sardar ZM, Ames RJ, Lenke L. Scheuermann’s kyphosis: diagnosis, management, and selecting fusion levels. J Am Acad Orthop Surg. 2019,27:e462-e472.,5. Bhojraj SY, Dandawate AV. Progressive cord compression secondary to thoracic disc lesions in Scheuermann’s kyphosis managed by posterolateral decompression, interbody fusion and pedicular fixation. A new approach to management of a rare clinical entity. Eur Spine J. 1994,3:66-9.,6. Yablon JS, Kasdon DL, Levine H. Thoracic cord compression in Scheuermann’s disease. Spine (Phila Pa 1976). 1988,13:896-8.,7. Sariali E, Panier S, Glorion C. Mechanical spinal cord compression at the apex of a kyphosis: a propos of one case. Review of the literature. Eur Spine J. 2009,18 Suppl 2 (Suppl 2):160-4.,8. Jagtap SA, Manuel D, Kesavdas C, Nair MD. Scheuermann disease presenting as compressive myelopathy. Neurology. 2012,78:1279.,9. Song KS, Yang JJ. Acutely progressing paraplegia caused by traumatic disc herniation through posterior Schmorl’s node opening into the spinal canal in lumbar Scheuermann’s disease. Spine (Phila Pa 1976). 201,36:E1588-91.,10. Kapetanos GA, Hantzidis PT, Anagnostidis KS, Kirkos JM. Thoracic cord compression caused by disk herniation in Scheuermann’s disease: a case report and review of the literature. Eur Spine J. 2006,15 Suppl 5 (Suppl 5):553-8.,11. Chiu KY, Luk KD. Cord compression caused by multiple disc herniations and intraspinal cyst in Scheuermann’s disease. Spine (Phila Pa 1976). 1995,20:1075-9.,12. Liu N, Chen Z, Qi Q, Shi Z. The relationship of symptomatic thoracolumbar disc herniation and Scheuermann’s disease. Eur Spine J. 2014,23:1059-66.,13. Kaur S, Lalam R. Scheuermann’s disease. Semin Musculoskelet Radiol. 2023,27:522-8.,14. Garrido E, Roberts SB, Duckworth A, Fournier J. Long-term follow-up of untreated Scheuermann’s kyphosis. Spine Deform. 2021,9:1633-9.,15. Ryan MD, Taylor TK. Acute spinal cord compression in Scheuermann’s disease. J Bone Joint Surg Br. 1982,64:409-12.,16. Ragborg L, Dragsted C, Dahl B, Gehrchen M. Scheuermann’s kyphosis: a 39-year follow-up from diagnosis in non-operated patients. Eur Spine J. 2020,29:2091-9.,17. Lonner BS, Newton P, Betz R, Scharf C, O’Brien M, Sponseller P, et al. Operative management of Scheuermann’s kyphosis in 78 patients: radiographic outcomes, complications, and technique. Spine (Phila Pa 1976). 2007,32:2644-52.,18. Li Q. Surgical procedures used for correction of Scheuermann’s kyphosis: a meta-analysis. Pain Res Manag. 2021,2021:2142964.,19. Yun C, Shen CL. Anterior release for Scheuermann’s disease: a systematic literature review and meta-analysis. Eur Spine J. 2017,26:921-7. | |
| dspace.entity.type | Publication | |
| local.indexed.at | TRDizin |
Files
Original bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- SUDDEN SEVERE NEUROLOGICAL DEFICIT IN SCHEUERMANN’S DISEASE A CASE REPORT AND LITERATURE REVIEW.pdf
- Size:
- 1.77 MB
- Format:
- Adobe Portable Document Format
