Scheuermann’s Kyphosis

Question 1

What is the most common cause of structural kyphosis of the thoracic and thoracolumbar spine?

Answer 1

Scheuermann’s kyphosis

Question 2

Who is Scheuermann’s kyphosis most commonly seen in?

Answer 2

Skeletally immature adolescents

Question 3

T/F: Scheuermann’s kyphosis usually is a strong hereditary tendency (may be autosomal dominant)

Answer 3

True

Question 4

How much Thoracic kyphosis does the patient need to have in order for it to be diagnosed as Scheuermann’s kyphosis?

Answer 4

> 45 degrees

Question 5

How much Thoracolumbar kyphosis does the patient need to have in order for it to be diagnosed as Scheuermann’s kyphosis?

Answer 5

> 30 degrees

Question 6

How much Wedging does the patient need to have in order for it to be diagnosed as Scheuermann’s kyphosis?

Answer 6

> 5 degrees of 3 adjacent vertebrae

Question 7

What is the key clinical finding of Scheuermann’s kyphosis?

Answer 7

Hyperkyphosis that doesn’t reverse w/ hyperextension

Question 8

Where is the apex of Scheuermann’s kyphosis?

Answer 8

T7 and T8

Question 9

How long should a patient wear a brace for if they have a curve of 50-70 degrees?

Answer 9

1 year around the clock then 2 years at night

Question 10

What kind of brace is worn for thoracic curves?

Answer 10

Milwaukee Brace

Question 11

What kind of brace is worn for curves below T8?

Answer 11

TLSO Brace

Question 12

How many degrees is known as a progressive curve? Will the patient still have to wear a Milwaukee brace?

Answer 12

60-65 degrees

Yes

Question 13

How many degrees must the kyphosis be for surgery to be required?

Answer 13

> 75 degrees

Question 14

Is thoracic Scheuermann’s usually associated with pain?

Answer 14

No

Question 15

Is Lumbar scheuermann’s usually associated with pain?

Answer 15

Yes